Northstar Marine Insurance

Claim

    Personal Information

    Name of Insured*

    Policy Number*

    Home Number(xxx) xxx-xxx

    Business Number (xxx) xxx-xxxx

    Address*

    City*

    Email Address*

    Operator Information

    Operator Name*

    Age*

    Address*

    Home Number(xxx) xxx-xxx

    Years of Boating Experience*

    Vessel Information

    Vessel Year*

    Make*

    Length*

    Colour*

    Motor*

    Serial Number*

    Current Location*

    Accident Information

    Location of Accident*

    Part(s) of Vessel Damaged*

    Date of Loss *

    Time (hh:mm)*

    Vessel on route from

    Vessel on route to

    Weather

    Sea Conditions

    Tide

    Wind

    Force

    Other Vessel Information

    Owner Name

    Owner Address

    Owner City

    Owner Telephone Number(xxx) xxx-xxx

    Operator Name

    Operator Address

    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 (xxx) xxx-xxx

    Name

    Address

    Telephone(xxx) xxx-xxx

    Accident Description

    Operators full description of accident and subsequent events

    Was either vessel in race?YesNo

    Was “protest” lodged? YesNo

    If protest lodged, outcome

    Reported to authorities? YesNo

    If yes, whom

    If no, reason

    I’m ready to set up my
    Northstar Boat Insurance Policy

    You’ve done your research and you’re ready to set up your Northstar Marine Insurance policy. Please click below to fill in the required information. One of our dedicated Canada marine insurance specialists will be in touch with you within 1 hour to ensure you have the personalized policy you need to enjoy a worry-free season on the water.

    Whether you’re fishing, cruising or simply enjoying the water, make sure you’re covered with our small boat insurance.