Yacht & Mega Yacht, Owner and Captain Insurance

Marina, Boat Dealer, Marine Service Centers and Excursion Vessel Business Insurance

Marine Insurance Agent Brokerage

Links

Contact Us

INET Insurance

Boat Insurance

Luxury Yacht Insurance

INET Insurance
27594 Detroit Road
Westlake, Ohio 44145

Phone 1-440-808-0706

Phone toll free 1-800-797-INET
 ( 4638 )

Fax 1-440-871-5672

Ohio Yacht & Boat Insurance

Friends of OHYI.com
Square Head Bolts
Firefighter Jobs
AllWelding
Fire EMT Jobs

INET
The Insurance Network

Please fill out the form below to the best of your ability. If you feel any of the information requested would not be needed feel free to leave the space blank. We will not contact your client with out your permission. Once completed please click on submit or fax to:
INET Insurance at 440-871-5672.

OWNER INFORMATION
Insured Name:
Address:
City:
State:
Zip:
Date of Birth:
Present
Insurance Company
:
Exp Date:
Premium:
Work Phone:
Home Phone:
Fax:
Email Address:
Occupation:
Years of
Boating Experience
:
Length and Make of
Previous Boats Owned
:

Courses & Membership: USPS
USCG
ACBS
Yacht Club
Motor Vehicle Driving Record, Past 5 Years:

BOAT INFORMATION
Vessel: Year: Length:

Make: Model:


Hull Material:
Max. Speed of Vessel:

Engines: Number: HP (Each):
Eng. Mfg.:


Equipment: VHF
Depth Finder
Loran
GPS
Radar
Burglar Alarm
Auto Fire Ext.

USE OF BOAT
Use: Pleasure
Charter
Mooring Location: City: State:

Name of Marina:


Navigation: Atlantic
Gulf
Great Lakes
Chesapeake
Pacific
Bahamas
Caribbean
Inland Waters - State of:
Other - Explain:

Layup Dates From/To: -
Losses: Date, Type & Amount Paid:

COVERAGE REQUESTED
Coverages: Hull & Equipment Value:

Deductible: 1% 2%


P&I Liability:
Paid Crew: Yes No Number:
Trailer:
Dinghy/Tender:
Survey Available: Yes NoSurvey Date
Vessel Purchase Date:
Purchase Price:

Agent and Agency Information
Your Name: Agents Name Here:
Agency Name: Agency Name Here:
Phone Number: Phone Number Here:
Fax Number: Fax Number Here:


 

1999 - 2017 INET Insurance
All rights reserved

INET Insurance
27594 Detroit Road
Westlake, Ohio 44145

Phone 1-440-808-0706

Phone toll free 1-800-797-INET
 ( 4638 )

Fax 1-440-871-5672