Boaters Insurance Quote Request | DCU Insurance | MA

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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

First, Tell Us About Yourself . . .

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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.