To take advantage of our highly competitive Narrowboat and Inland Waterways Craft Insurance facilities, and if you would like a quotation then please complete this enquiry form. Quotations will be supplied by post to the address provided in this enquiry. However, if you would like more information before proceeding, please contact us for assistance.

Please note that ALL fields marked with an (*) REQUIRE an ENTRY.

Personal details
   
Title(*) Forenames(*) Surname(*)
   
Email(*):
Present Address:
Post code:
Occupation: Date of birth:
Telephone no: home: Telephone Number - Daytime/work:
Are you the sole owner of this vessel?: Yes No Do you wish Mortgagees interests to be noted?: Yes No
If no please state who is: If yes please state who:
Have you or anybody who will use the boat been convicted of any criminal offence?: Yes  No 
Experience with this type of craft: Hire Boats Only Novice Experienced  If Experienced - Please State Number of Years:
Have you suffered any marine accidents or losses in the last 5 years?: Yes No
If yes please state insurer, value of claim, date & briefly describe what happened:
Are you entitled to a NO CLAIM BONUS from an existing or previous marine craft policy?: Yes No If Yes please state number of years entitlement:
Cruising Range Required
All UK Inland waterways & Broads & Fens & Inland Tidal waters for access to the Inland Waterways System: Yes No
All UK Inland Non-Tidal waters only: Yes No
U.K. Inland & Coastal Waters: Yes No
Use of Vessel
Commercial use of any kind must be previously agreed by the underwriters
Private & Pleasure use only: Yes No
House Boat / Residential Use: Yes No
Will the vessel be used Single Handed?: Yes No
Mooring Details - Please be precise (e.g. Marina name & pontoon details)
Mooring Details:
Vessel details - PLEASE NOTE vessel must have appropriate licences (e.g. B.W.B. Safety Test Cert.) as required by law
Vessel Name: Number of Engines:
Vessel Type: HP of engine(s):
Length: Date Engine(s) Built:
Beam: Engine Manufacturer:
Draft: Fuel Used:
Date Vessel Built: Maximum Design Speed:
Vessel Manufacturer: Engine Type: InboardOutboard
Built of: SteelGRP If Outboard - Engine Serial Number:
Fit Out: ProfessionalAmateur
Values Price Paid (£) Sum Insured (£)
Hull & Equipment & Engines (inboard):
Tender (Make & Model):
Life Raft (Make & Model):
Outboard Engine (Make & Serial Number):
Trailer (Make & Serial Number):
Portable generator (Make & Model):
Personal Effects:
Date Vessel Purchased (dd/mm/yyyy): Total

The information you supply on this form will be used by COLLIDGE & PARTNERS to provide you with a quotation. We may retain the information provided to supply you with a future quotation if our first one is not accepted unless you ask us not to. We will not pass your details on to any other companies, other than the insurance company. Under the terms of the Data Protection Act, you are entitled to receive a copy of the personal data we hold about you on payment of a fee.

The enquirer should keep a record (including copies of letters) of all information supplied to COLLIDGE & PARTNERS for the purposes of entering into the contract. A copy of the enquiry form will be supplied on request within a period of 3 months after its completion.

COLLIDGE & PARTNERS reserves the right to decline any enquiry and/or proposal.