Private Pleasurecraft Quote

Insured First Name*
Last Name*
Email*
Phone*
Postal Address*
Street Address City State Postcode Country
Date of Birth*
DD slash MM slash YYYY
How many years' experience do you have with a craft of a similar size/nature?
When did you obtain your boat license?
Not Applicable
Do not have a boat license
Have you recently purchased the vessel / in the process of purchasing the vessel?*
- Yes
- No
Date of Purchase*
DD slash MM slash YYYY
Purchase Price*
Current Insurer
Expiry date of current cover
DD slash MM slash YYYY
Not currently insured
Yes Not currently insured
How did you discover Tudor Insurance*
Who referred you to Tudor
Vessel Information
Year*
Make/Model*
Type*
Please Specify*
Vessel Name*
Sail/Reg. No.*
Length (metres / feet)*
Vessel Construction*
- Fibreglass
- Steel
- Timber
- Alum
- Rubber
- Carbon Fibre
- Plastic
- Ferrocement
- Other
Please Specify
Description of Build*
- Stock Production
- Professional Custom Built
- Owner Built
- Kit Built
Does the vessel foil?*
- Yes
- No
Select one*
- Foiling is standard for my vessel class, my craft came with foils
- Foiling is standard for my vessel class, however I had to purchase an aftermarket foil kit for my craft
- Foiling is not standard for my vessel class, I was able to purchase an aftermarket foil kit for my craft
Is the craft professionally built?*
- Yes
- No
Motor 1 - Main*
- Yes
- Not Applicable
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Motor 1 - Main*
Year Make/Model H/P Serial Number
*
- Inboard
- Outboard
- Petrol
- Diesel
- Steam
Max Speed*
- Up to 20kts
- Up to 60kts
- Over 60 kts
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Motor 2 - Auxillary*
- Yes
- Not Applicable
Motor 2 - Auxillary*
Year Make/Model H/P Serial Number
Trailer*
- Yes
- Not Applicable
What is the length of the trailer?*
(in metres)
Trailer*
Year Make/Model Reg.No.
Mast Construction*
- Yes
- Not Applicable
Mast Construction*
- Timber
- Aluminium
- Plastic
- Carbon Fibre
- Other
Rigging Construction*
- Yes
- Not Applicable
Rigging Construction*
- Stainless Steel
- Rod
- Synthetic
- Other
Age of rigging
Date rigging last replaced
DD slash MM slash YYYY
Date rigging last serviced, if different
DD slash MM slash YYYY
Equipment/accessories (i.e. sports/fishing gear, beach trolley, safety equipment)*
Total Sum Insured*
Is there any additional information you wish to advise*
- Yes
- No
Specify*
Cruising Limits*
- Standard: Australian waters up to 200nm
- Other
Specify*
Do you intend on permanently living on board your craft?*
- Yes
- No
Stored*
- Backyard
- Garaged
- Marina / Mooring Pen
- Swing Mooring
- Yacht Club Compound/Racking
Storage Location*
Street Address City State Postcode Country
Third Party Liability*
- $10,000,000 (Standard)
- $20,000,000
Yacht Club Racing*
- No
- Up to 25nm
- Up to 50nm
- Up to 100nm
- Up to 200nm
- More than 200nm
Do you race under a spinnaker?*
- Yes
- No
Is waterskiers liability required?*
- Yes
- No
In the last 5 years:
Have you had any Pleasurecraft Insurance claims?*
- Yes
- No
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DOL*
DD slash MM slash YYYY
Type of Loss*
mast damage from vessel capsizing whilst racing
Claim Amount*
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Have you been convicted of any criminal offences?*
- Yes
- No
Specify*
Have you been declared bankrupt?*
- Yes
- No
Specify*
Have you had an Insurer refuse to renew/ cancelled or terminated a policy?*
- Yes
- No
Specify*
Have you had special conditions imposed under the policy?*
- Yes
- No
Specify*
For any vessels over 5 years of age, please provide recent photographs of the craft and survey/pre-purchase report (if available).
Drop files here or

Accepted file types: pdf, jpg, Max. file size: 72 MB.
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What you told us
This document sets out your answers to questions which may be relevant to the decision of an insurer to accept the risk (refer to your duty of disclosure) and the insurance covers which you require us to attempt to arrange. Please review the information in accordance with your duty of disclosure and advise us immediately if any of the details are incorrect or incomplete.

You may confirm the information is correct and complete by doing any of the following:

(a) Signing and returning a copy of this form; or
(b) Providing us with instructions to place the policy of insurance.
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Signature
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Name
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Date
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