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Quotation Request - Please complete the following form
Start your quotation here
For a no-obligation quotation on a Marine insurance policy from RV America Insurance, please take a few minutes to complete this form and we will send you a quotation by email.
If you prefer, our Customer Service Staff is available to take your call at 1-800-400-0186 Monday - Saturday 7am - 6pm Pacific Time (10-9 Eastern Time).
General Quote Information:
First Name:
Last Name:
Street Address:
Suite or Unit:
City, State, Zip:
Select State
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
County:
Date of Birth:
MM/DD/YYYY
Telephone:
-
-
Fax:
-
-
Email Address:
Confirm Email:
Any Major or Minor Violations on your driving record?
Yes
No
If yes, provide details here
Any at-fault accidents within the last 3 years?
Yes
No
If yes, provide details here
About Your Water Craft and Requested Coverage
Vessel:
Select Type
Runabout / Ski Boat
Personal Watercraft / Jetski
Bass Boat
Cabin Cruiser
Pontoon
House Boat
Catamaran
Sailboat
Fishing Boat
Yacht
Select Year
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974 or older
50
49
48
47
46
45
44
43
42
41
40
39
38
37
36
35
34
33
32
31
30
29
28
27
26
25
24
23
22
Length
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
Current Market Value:$
Original Purchase Price:$
Purchase Date:
Liability:
Select
$100,000
$300,000
$500,000
$1,000,000
Deductible:
Select
$100
$250
$500
$1,000
$1,500
$2,500
Manufacturer:
Exact Model Name/#:
Hull Type:
Select Type
Wood
Fiberglass
Aluminum
Other
Weight:
Tunnel/Double Hull:
Yes
No
Number of motors:
Motor Manfacturer:
Motor Year:
Motor Type:
Select
Inboard
Outboard
I/O
Jet
Motor Value:
Outboard only
Motor Fuel:
Select
Gas
Diesel
Motor Size:
CC, Personal Water Craft only
Maximum Speed:
Horsepower per Motor:
Do you have a trailer?
Yes
No
Manufacturer:
Value:
Do you need fishing equipment coverage?
Yes
No
Value:
Is there more than one owner?
Yes
No
Over the transom exhaust or exposed motor?
Yes
No
Modified for enhanced performance?
Yes
No
Used for racing or speed testing?
Yes
No
Is it ever rented to others?
Yes
No
Are you a home owner?
Yes
No
Used for recreational purposes only?
Yes
No
Is boat used as a permanent or primary residence?
Yes
No
Is it used for business purposes?
Yes
No
Navigation Area:
Inland
Coastal
Select
-5
50-100
100+
Please provide boat storage or mooring details if different than above:
Boat stored at address above?
Yes
No
Address:
City,State,Zip:
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
County:
Storage Type:
Select
Slip
Elevator
House
Condominium
Apartment
Additional Owner Information
First Name:
Last Name:
Street Address:
Suite or Unit:
City, State, Zip:
Select State
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
County:
Date of Birth:
MM/DD/YYYY
Any Major or Minor Violations on your driving record?
Yes
No
If yes, provide details here
Any at-fault accidents within the last 3 years?
Yes
No
If yes, provide details here
Additional Comments or Questions?
How would you like to receive your Quote?
Select
HTML Email
Text Email
Fax
Telephone
Have a question? Call today! We'll quote you over the phone.
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