Report a Claim

Get back on the water

Claims can happen - that’s why you have purchased marine insurance. When something goes wrong our goal is to ensure that every claim is settled quickly and fairly.

The summer flies by and every day counts. We’ll expedite everything necessary to get repairs done ASAP so you can be boating again sooner.

(*) Manditory Fields

Personal Information
Name Of Insured*
Policy Number*
Home Number	( ) -
Business Number	( ) -
Address*
City*
Email Address*

Operator Information
Operator Name*
Age*
Address*
Home Number	() -
Experience*

Vessel Information
Vessel-Year* (yyyy)		Make*
Length*		Colour*
Motor*		Serial No*
Current Location*

Accident Information
Location of Accident*
Part(s) of Vessel Damaged*
Date of Loss* (mm-dd-yyyy)
Time* (hh:mm)
Vessel enrout from
Vessel enrout to
Weather
Sea Conditions
Tide
Wind
Force

Other Vessel Information
Owner Name
Owner Address
Owner City
Owner Telephone Number	() -
Operator Name
Operator Address
Operator City
Operator Telephone Number	() -
Vessel Year (yyyy)
Vessel Make
Vessel Length
Vessel Colour
Location of Vessel
Part(s) of Vessel Damaged
Name of Insurance Company
Policy Number

Person(s) Injured on Your Vessel
Name
Address
Types of Injury
Name
Address
Types of Injury

Person(s) Injured on Other Vessel
Name
Address
Types of Injury
Name
Address
Types of Injury

Witnesses
Name
Address
Telephone	( ) -
Name
Address
Telephone	( ) -

Accident Description
Operators full desctiption of accident and subsequent events*
Was either vessel in race?	Yes No
Was "protest" lodged	Yes No
If protest lodged, outcome
reported to authorities	Yes No
If yes, whom
If no, reason