Velos :: Marine Insurance Specialists :: Yachts & Pleasure Craft


Vessel's Details

Vessel Name:				Craft Flag*:

Make/Model*:				Year of Make*:

Hull Material*:				Length*:

Date of last out of water survey (if you have one):

Engine's Details

Make of Engine:

Year of Make:

Power:

Max Design Speed*:

knots

Engine Type:

Inboard
Outboard

Petrol
Diesel

Single
Twin


Vessel's Use

Use*:		If Charter, max number of passengers:

Cruising Range*:

Mooring Location*:		Mooring Type*:

	If your cruising range or mooring type isn't included in the options above then please then please select 'Other' and make a note in the additional information section

In Commission:
From*:		To*:


Cover Details

Total Sum Insured*:		No Claims Discount*:

Insurance Start Date*:

Current Insurers:

Have you had any claims in the last 5 years*?			Yes No

	If yes, please provide details in the box below including the date & value of each claim.



Is Water Skiers Liability Required?			Yes No

Is Towing of Toys Liability Required?			Yes No

	Any additional information, or if your preference isn't included in the above sections then please make a note here:



Where did you hear about Velos*:

If you have a reference number, please quote it here:

	Once you are happy your details are correct, click 'Submit Enquiry' to submit your enquiry to Velos Insurance Services. If you are a Danish customer, please tick this box to confirm that you are happy to correspond and receive our formal documentation in the English Language We will endeavour to respond to your enquiry within one working day. * these fields are compulsory.