insurance indication
Country of Use: Your Country of Residence:
Country of Registration: Cruising range:
Please select Country of Use

Total Sum Insured:     Use of Vessel:
Type of Vessel: Hull Material:
Powered By: Max Design Speed:
Year Built: Experience:
Mooring Type: Qualifications
No Claims Bonus: Laid Up Period:

Third Party / Passenger Limit of Liability required: What excess do you require:

Racing Risk Cover: If Yes then state value:   
Water Skier Liability: Personal Accident:
War, Civil Disturbance and Terrorism Cover:
Select Country of Use to see applicable schemes.

Insureds Name: Insureds Email:
Agency Broker
Select an Agency


The information provided on this form, together with any other information obtained from you or from other parties about you in connection with this insurance, will be used by the Underwriters for the purposes of determining your application, the operation of insurance (which includes the process of underwriting, administration, claims management, rehabilitation and customer concerns handling) and fraud protection and detection.

Information will be transferred with the United Kingdom and may be transferred outside the European Economic Area for these purposes.

Information may be shared by the Insurer for these purposes with group companies and third party insurers, reinsurers, insurance intermediaries and service providers. Such parties may become data controllers in respect of your personal data.

By completing and submitting this form, you consent to the processing of any personal data about you, including sensitive personal data, the transfer of such personal data about you overseas for these purposes as set out in this notice by the Insurer and any other data controllers to which the personal data are transferred or disclosed for these purposes.

Contact Us
If you have any questions, just give us a call on 01590 670055. Alternatively you can email us.

Lloyds of London
British Insurance Brokers Association
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