Boaters Insurance Quote Request

Applicant Information

What information will you need?

You will need vessel and mooring info, motor and trailor info, any lienholders, specific coverages desired and any losses.¹

If you live outside of MA, NH, CT, ME, CO or GA, please contact us directly at 508.263.6978.

First, Tell Us About Yourself . . .

First name:

Last name:

Are you a DCU member?

yes no

Date of birth:

Is there a second insured?

yes no

First name (2nd insured):

Last name (2nd insured):

Is the second insured a DCU member?

yes no

Date of birth (2nd insured):

Residence address:

City:

State:

Zip:

Mailing address (if different):

Contact phone:

Contact fax:

Contact email:

License number and state:

Any violations/accidents within the last 3 years?

yes no

Years of boating experience:

Years of boat ownership:

¹ Insurance companies use information gathered from you and often from outside sources about your insurance claim history, property and credit history. This allows them to determine the proper insurance premium pricing and provide a more accurate quote. Accessing your credit information for this purpose has no impact on your credit rating. By submitting this form, you are authorizing DCU Insurance and/or our insurance carriers to access your insurance reports.

* Required fields.

Coverages Information

Tell us about the coverages you desire . . .

Personal liability

Medical payments

Uninsired watercraft coverage

Replacement value type

Deductible

Trailer deductible

Personal property coverage (rounded to nearest $100; deductible is $100):

Towing and assistance:

For boats under 26 feet in length

For members living in MA, NH, CT, ME, CO and GA

Applicant Information

First, Tell Us About Yourself . . .

Boat Information

Next, tell us about your boat . . .

Mooring Storage Location

Vessel Information

Motor/Trailer Information

Next, tell us about your motor and trailer . . .

Motor Information

Motor 1

Motor 2

Trailer Information

Coverages Information

Tell us about the coverages you desire . . .

Final Questions

Finally, just a few more questions . . .