Watercraft - Bob Meyer Insurance Lakeville, Minnesota

Watercraft Quote Request Form


Full Name of Watercraft Owner:*
Street Address:*
City or Town:*
State:*
Zip Code:*
Phone at Work or Cell:
Phone Home or Cell:*
Name of Operator # 1*
Birthdate, Operator #1:*
Drivers License Number, Operator # 1:*
State of DL:*
Any motor vehicle accidents or violations the last 5 years for Opr #1?*
Years of Boating Experience - Opr # 1:*
Name of Operator #2:
Birthdate of Operator #2:
Drivers License Number - Operator # 2:
State of DL:
Years Boating Experience - Opr # 2
Any motor vehicle accidents or violations in the last 5 years for Opr #2:
Name of Operator # 3
Date of Birth for Opr # 3
Drivers License Number - Operator # 3:
State of DL for Opr # 3:
Years Boating Experience - Opr # 3:
Any motor vehicle accidents or violations the last 5 years for Opr # 3?
Year, Make & Model of Watercraft?*
Type:*
Length of Watercraft:*
Value: (Actual Cash Value)*
Maximum Speed:*
Engine # 1 Year, Make, & Model:
Engine # 1 Type:
Engine # 1 Value - (Leave Blank if value included with boat):
Horse Power of Engine # 1:
Engine # 2 Year, Make, & Model:
Engine # 2 Value:
Engine # 2 Horsepower:
Trailer- Year, Make, & Model (If Coverage Desired):
Trailer - Value (If Coverage Desired):
Additional Equipment: (If Cov. Desired):
Do you have a loan on the Watercraft?	Yes No


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You should know: Agents and Insurance Companies must check your driving record, history of losses, and run your insurance score to obtain your Boat insurance quote. Insurance scores are unique for each company with some carriers giving discounts of up to 50% for those with exceptional credit. So what is insurance scoring? Learn More!

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