Insurance Service Center DePere - Boat Insurance Checklist

Client Name*

First NameLast Name

Email Address

When insuring a boat, you have several choices. You can usually add it on as a rider onto your home policy (this usually is the less expensive way). However, there may be some additional coverages you may want. If so, check all interested areas below:*

	Yes	No	Call Me
I want wreckage removal coverage.
I want pollution coverage (i.e. fuel spillage).
I want towing coverage.
I want coverage if we are hit & hurt by an uninsured boater.
If my boat is 2 years old or newer, I want coverage to get a brand new boat if mine is totaled in a claim.

Comments

Please list below all drivers, regardless of age that will be driving your boat:*

	Name
Driver 1
Driver 2
Driver 3
Driver 4

I have read the above and have personally reviewed the answers above. I understand that it is my responsibility to advise Insurance Service Center of any special insurance needs I may have and that this checklist does not imply, in any manner, that these are the ONLY items that may be of concern to me.

Client Signature*

Date*

MonthDayYear

Enter the message as it's shown*

Send to*