forma request Request for yacht/boat insurance Company namePlease write company name, if the insured will be the company.First and last name (must be the owner of the yacht)* First Last Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code Please choose your countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Birthday of the insured Phone*Email address* Enter Email Confirm Email Unique IDInsurance coverages:*hull insurancecompulsory third party liability (mandatory under the law of the Republic of Croatia)voluntary third party liabilityvoluntary third party liability ( min. 7.290.000 € for Italy )compulsory (mandatory under the law of the Republic of Croatia) accidnet insurance for passengersvoluntary accident insurance for persons on boatcharter risks - loss of income, purposely stealingoperational damagesPlease write coverages You want. You create Your own insurance policy. Note that every insurance product is insuring different risks. The terms and conditions can be found in downloads.Insurance starts from:Do you want to insure a motor boat or a sailing yacht?*Sailing yachtMotor boatCatamaranPlease choose your boat type.Policy is vinculated in favor of:For example: ERSTE LEASING, ERSTE BANKBoat/Yacht registration - flag:*For example: PO123 - Croatian flagRegistered number of passengers:*Mooring place:*For example: ACI Marina PulaBoat/Yacht manufacturer:*For example: LagoonBoat/Yacht model:*For example: Lagoon 52Year of built of the boat/yacht:*Length / Widht / Draft of the boat/yacht in m:*Hull number:Material:For example: fiberglass, wood, steel, tireSailing area of the sailing boat/yacht in m2:How many inborder engines boat/yacht have?*Please write the number of inborder engines.Year of built of inbord engines*How many kW do engines have?*Engine serial number:Is there any outboarder engines? If yes, how many?Year of built of outboarder engines:How much kW outboarder engines have?Cruising area*MediterraneanOtherWorldwide coverageDo You use Your boat/yacht for commercial purpose or private?*private usecommercial use (rent)commercial use (rent) with permanent skippercommercial use (taxi, excursions)Note: If you use your boat for commercial purpose and you insure it only for private use, then you are not insured in case of a damage.Value of the boat/yacht with VAT included (€)*Value of the inventory with VAT included (€)*Value of engine with VAT included (€)*Terms of Service* I agree to the Terms of Service After getting your request, we will make an offer for your boat. PhoneThis field is for validation purposes and should be left unchanged.