Small Craft Insurance Quote Form

Picture of leisure cruiser

Small Craft Insurance

By simply filling in this form you will soon receive a very competitive insurance quote from SR Insurances. We will deal with your enquiry promptly and return a quote to you as quickly as possible.

Your details…
Title
First Name
Surname
Address
Postcode
Telephone Number
E-Mail

Date of Birth (dd/mm/yyyy)
Occupation

Have you or any person who lives with you had any accident or loss in the last five years in connection with any boat you have used or owned?
Have you or any person who lives with you had any insurance on any boat cancelled, refused or renewed on special terms?
Have you or any person who lives with you been convicted of arson or any offence involving dishonesty of any kind?
Give details of any "Yes" answer

No claims discount amount from previous insurer (%)
Last insurer name

Details of your boat
Name of Boat
Type/Class/Model
Length
Beam
Hull material
Rig
Sail Number
Year built
Builders name
Was your boat professionally built?
When did you buy it?
How much did you pay?

Engine details (1st engine)
Make
Year of manufacture
HP
Serial Number
Fuel

Engine details (2nd engine)
Make
Year of manufacture
HP
Serial Number
Fuel

How fast will your boat go with these engines? Knots
MPH

Details of security Please say EXACTLY where you keep your boat e.g. moorings, locked garage, driveway, sailing club etc
Do you always keep your boat ashore?
If you leave it afloat, please show the dates you leave it afloat between:
to
Do you secure your trailer with a wheel clamp?
Do you secure your outboard motor with an outboard motor security lock?
If you use any other sort of security device, please give details here

Values you wish to insure

Hull (£)
Outboard Motor 1
Outboard Motor 2
Trailer
Trolley
Special equipment (echo sounders, VHF, GPS etc.)

Insurance cover required
Do you want to include legal liability to and of water skiers being towed by your boat?
If you would like to insure your masts, spars, sails and rigging while you are racing your dinghy, please show cost of replacing them with new ones
When do you want your insurance to start (12 months cover) dd/mm/yyy?

And finally…
Is there anything else you need to tell us about?

How did you hear about this web site

The personal details you have submitted on this form will be used only for the purposes of supplying you with a quotation. None of this information will be made available to other companies or organisations for the purpose of mailing, promotions, direct selling or any other offers.

Thank you for filling in this form. Please ensure you have filled in as much as possible - the more details you give us the better quote we can give you!

For you own records you may like to have a printed copy of this form.

Just press the Print Form button.
Press the SEND button to forward your details to us.

We will forward a quote as soon as possible.

Sharpley & Regent Insurance Services Ltd.
38 Alexandra Road, LOWESTOFT, NR32 1PW
Tel: 0845 130 0202 (Calls charged at local rate)
Fax: 01502 532605

ã Sharpley & Regent Insurance Services Ltd. 1999 - 2007