Boat Insurance Quote | Masterpole-Murphy Insurance Agency - Syracuse NY Independent Auto Home Life Business Insurance Agent

Personal Information

Name*

First Last

Garaging Street Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email

Mailing Address (if different)

Street Address Address Line 2 City State ZIP Code

Driver 1 Information

Name*

First Last

Gender*

Male
Female

Birth Date*

Years Boating Experience*

Driver's License # and State*

Occupation*

Driver 2 Information

(leave blank if not applicable)

Name

First Last

Gender

Male
Female

Birth Date

Marital Status

Years Boating Experience

Driver's License # and State

Occupation

Driver 3 Information

(leave blank if not applicable)

Name

First Last

Gender

Male
Female

Birth Date

Marital Status

Years Boating Experience

Driver's License # and State

Occupation

Boat Information

Year*

Please enter a number from 1900 to 2017.

Make*

Model*

Type*

Identification Serial Number*

Cost New Value*

Hours Used Each Year*

Boat Length*

Please enter a number from 1 to 99.

Watercraft Weight*

Ownership

Trailer Information

Year*

Please enter a number from 190 to 2017.

Make*

Model*

Type*

Identification Serial Number*

Cost New Value*

Motor Information

Year*

Please enter a number from 1900 to 2017.

Make*

Model*

Type*

Identification Serial Number*

Cost New Value*

Horsepower / Motor Size*

Ownership

Deductible Information - Boat & Motor

Comprehensive (theft)*

Collision*

Deductible Information - Trailer

Comprehensive (theft)*

Collision*

Violation Information

Last 3 years (minor violations) / Last 5 years (major violations)

Driver 1 Minor Violations

speeding, turn, stop sign, red light, etc.

Driver 1 Accidents

non chargeable

Driver 1 Accidents

chargeable

Driver 1 Major Violations

drunk driving, reckless, hit and run, etc.

Driver 2 Minor Violations

speeding, turn, stop sign, red light, etc.

Driver 2 Accidents

non chargeable

Driver 2 Accidents

chargeable

Driver 2 Major Violations

drunk driving, reckless, hit and run, etc.

Driver 3 Minor Violations

speeding, turn, stop sign, red light, etc.

Driver 3 Accidents

non chargeable

Driver 3 Accidents

chargeable

Driver 3 Major Violations

drunk driving, reckless, hit and run, etc.

Coverage Information

Personal Liability / Bodily Injury*

Personal Liability / Property Damage*

Uninsured Motorist / Bodily Injury*

Uninsured Motorist / Property Damage*

Medical Payment*

Miscellaneous Information

Does the Boat have a Fire System?*

Yes
No

Any Commercial Usage?*

Yes
No

What is the Fuel Type?*

Current Insurance Company*

Current Premium*

Expiration Date*

Questions or Comments

Binding Agreement*

I understand that coverage cannot be bound or that a current policy cannot be altered via this website, and that this request for a quote must be confirmed by an authorized representative of the Masterpole Murphy Agency

Boat Insurance Quote Request Form

Personal Information

Driver 1 Information

Driver 2 Information

Driver 3 Information

Boat Information

Trailer Information

Motor Information

Deductible Information - Boat & Motor

Deductible Information - Trailer

Violation Information

Coverage Information

Miscellaneous Information

**please ensure your pop-up blockers are disabled to pay your bill or submit a claim.

Categories

Pay Your Bill

Report A Claim

Read Our Recent Blogs:

Subscribe To Our Blog