Add/Delete/Modify Boat Coverage

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information

Marina Name *

First Name *

Last Name *

ZIP / Postal Code *

Primary Phone Number *

E-Mail Address *

Are You Adding/Deleting/Modifying Boat Coverage? *

If Deleting Boat(s), Please Provide Year/Make/Hull ID of Each Deleted Boat

If Adding Boat(s), Please Provide Year/Make/Hull I.D./Engine HP, Value of Boat(s) if Physical Damage is Desired for Each Vessel

If Modifying Boat Coverage, Please Tell Us What Boat (Year/Make/Hull I.D. of each boat) and What You Want Changed

Click Submit Button to Send Your Service Request! Thank You!

Submission Validation

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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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Toll Free: 855-903-7170
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