MatesBoat™ Insurance Referral Form

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- About
- Contact Us

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Need Commercial Insurance? Fill Out The Form And We Will Help Get It Sorted!

MatesBoat™ is not an insurance provider and does not receive a commission for this referral service. All vessels advertised for hire on MatesBoat™ must be insured for commercial activities.

Request Insurance Referral

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Boat Owners Full Name

Address Line 1

City

State

Post Code

Country

Phone Number

Email

Policy Start Date (estimate)

Boat Rental Type

BareBoat Rental

Charter Service

Years Without Claim

Domestic Commercial Registration (DCV)?

Yes

No

Boat Registration

Vessel HIN (Hull Identification Number)

Boat Name

Boat Make/Model

Build Date

Boat Length

Boat Beam (Width)

Engine Number

1

2

3

4

Engine Type

Inboard

Outboard

No engine

Fuel Type

Petrol

Diesel

Electric

Other

Engine 1 Size

Engine 2 Size

Engine 3 Size

Engine 4 Size

Engine Serial Number 1

Engine Serial Number 2

Engine Serial Number 3

Engine Serial Number 4

Maximum Speed (Knots)

Boat Value

Trailer Registration (if applicable)

Trailer Manufacturer

Masters Name (if Charter Service)

Date Of Birth (if Charter Service)

Boating Experience (Years/Vessel Type/Size/Operational Area)

AMSA Qualifications (if Charter Service)

Storage Type

Boat Storage Location

Address Line 1

City

State

Post Code

Country

Estimated Number Of Days Chartered/Rented

Max Number Of Passengers

Hull & Equipment Insured Value

Trailer Insured Value

Engine Insured Value

Total Insured Value

Liability Limit

If other, amount required (AUD)

Has The Applicant Made A Boat Insurance Claim In The Preceding 5 years?

Yes

No

Has The Applicant Ever Been Denied Insurance?

Yes

No

If yes, provide the details here:

Has The Applicant Been Convicted Of A Criminal Offence?

Yes

No

Has The Applicant Ever Been Declared Bankrupt?

Yes

No

Prefered Method of Contact

Phone

Email

other

Vessel Image Upload (N.B not essential but will expedite the response)

Choose File

Comments

By pressing submit you agree for MatesBoat™ to provide the form information to a Marine Insurance Company for assessment and to make contact with you.

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