Third Party Quote

How you found us *

Name *

Address *

Postcode *

Phone (primary) *

Phone (secondary)

Email *

Vessel name *

Year

Hull material *

Type

Length

Design

Engine

Fuel

HP

Where moored *

Layup location *

Mooring type *

Security *

Cruising range for the next year *

Night Sailing *

Yes
No

Single handed *

Yes
No

Private/Pleasure *

Yes
No

Windstorm cover *

Yes
No

Charter *

Yes
No

Racing *

Yes
No

Living aboard *

Yes
No

Savage & wreck removal *

Yes
No

If you are a human and are seeing this field, please leave it blank.

Experience *

Crew experience *

Total value of the vessel *

Name of previous insurer

How long were you insured by them

Previous claim?

Yes
No

When it happened

Where it happened

How it happened

How much was paid out

Name of company that paid out

Third party insurance required

NZ$5,000,000
AU$5,000,000
AU$10,000,000
US$2,000,000

Third Party Quote

As Specialist Marine Insurance Consultants we can arrange insurance for: