Club ApplicationRegatta/Festival applicationAdditional Insured Certificate RequestHull and Equipment ChangesClaim Forms

Hull and Equipment Changes

Number of Hull and Equipment Changes to submit: One Many
To submit a batch of Hull and Equipment Changes please click here and download the Excel file and submit it along with this form.
Attach Excel file (for batch submission):

Account Name: *    Policy Number: *    Effective Date of Change:

Select: Add Delete Change

Hull Type:    Boat Name:    Hull Make:    Hull Model:

Year:    Hull ID:    Value:

Select: New Used

Date Purchased/Removed:    Amount of Insurance: $

Equipment Changes:

Type of Equipment:    Year:    Make:

Model:    ID #:    Value ($):

Equipment Description:

Other Changes:

Contact Details:

Contact Person: *    Phone: *    Email: *

Enter Verification Code: