Luckett Insurance | Watercraft & Boat Insurance Quote

Boat/Personal Watercraft (PWC) Information

Type of Boat *

Year *

Make *

Model *

Length in Feet *

Hull Material *

Motor Information

Type of Motor *

Year *

Make *

Model *

Total Horsepower *

Trailer Information

Year (Optional)

Make (Optional)

Model (Optional)

General Underwriting Questions

Maximum Speed *

Year Purchased

Are You the Original Owner?

Where is the Boat Navigated? *

Where is the Boat Stored? *

Storage/Mooring Zip Code *

Market Value of Watercraft (including boat and motor) *

Market Value of Trailer

Boat/PWC Use *

Have You Had Boat Liability in the Past 12 Months? *

If So, Who Was the Insurance Carrier?

Driver Information

Number of Drivers *

Number of Years Boating Experience? - Driver 1

Name - Driver 1 *

First

Last

Gender - Driver 1 *

Marital Status - Driver 1 *

Date of Birth - Driver 1 *

License State - Driver 1 *

Drivers License Number - Driver 1 *

Social Security Number - Driver 1

Luckett and Luckett uses information collected from consumer reporting agencies, such as your driving record, credit, and claims history, in order to offer you the most appropriate rate. Your Social Security number is used as an identifier and to obtain your credit information in states where applicable. The information that you provide will be kept confidential, secure, and will not be sold or redistributed. During the quote process, entering your Social Security number is optional.

Name - Driver 2

First

Last

Gender - Driver 2

Marital Status - Driver 2

Date of Birth - Driver 2

License State - Driver 2

Drivers License Number - Driver 2

Social Security Number - Driver 2

Luckett and Luckett uses information collected from consumer reporting agencies, such as your driving record, credit, and claims history, in order to offer you the most appropriate rate. Your Social Security number is used as an identifier and to obtain your credit information in states where applicable. The information that you provide will be kept confidential, secure, and will not be sold or redistributed. During the quote process, entering your Social Security number is optional.

Number of Years Boating Experience?

Name - Driver 3

First

Last

Gender - Driver 3

Marital Status - Driver 3

Date of Birth - Driver 3

License State - Driver 3

Drivers License Number - Driver 3

Social Security Number - Driver 3

Luckett and Luckett uses information collected from consumer reporting agencies, such as your driving record, credit, and claims history, in order to offer you the most appropriate rate. Your Social Security number is used as an identifier and to obtain your credit information in states where applicable. The information that you provide will be kept confidential, secure, and will not be sold or redistributed. During the quote process, entering your Social Security number is optional.

Number of Years Boating Experience? - Driver 3

Name - Driver 4

First

Last

Gender - Driver 4

Marital Status - Driver 4

Date of Birth - Driver 4

License State - Driver 4

Drivers License Number - Driver 4

Social Security Number - Driver 4

Number of Years Boating Experience? - Driver 4

Name - Driver 5

First

Last

Gender - Driver 5

Marital Status - Driver 5

Date of Birth - Driver 5

License State - Driver 5

Drivers License Number - Driver 5

Social Security Number - Driver 5

Luckett and Luckett uses information collected from consumer reporting agencies, such as your driving record, credit, and claims history, in order to offer you the most appropriate rate. Your Social Security number is used as an identifier and to obtain your credit information in states where applicable. The information that you provide will be kept confidential, secure, and will not be sold or redistributed. During the quote process, entering your Social Security number is optional.

Number of Years Boating Experience? - Driver 5

Name - Driver 6

First

Last

Gender - Driver 6

Marital Status - Driver 6

Date of Birth - Driver 6

License State - Driver 6

Drivers License Number - Driver 6

Social Security Number - Driver 6

Luckett and Luckett uses information collected from consumer reporting agencies, such as your driving record, credit, and claims history, in order to offer you the most appropriate rate. Your Social Security number is used as an identifier and to obtain your credit information in states where applicable. The information that you provide will be kept confidential, secure, and will not be sold or redistributed. During the quote process, entering your Social Security number is optional.

Number of Years Boating Experience? - Driver 6

Tickets, Accidents or Losses

Any Tickets, Accidents, or Losses For Any Driver in the Last 3 Years? *

If Yes, Who? Give a Brief Explanation of What Happened.

Coverage Information

Type of Coverage *

Collision Deductable *

Bodily Injury Limits *

Property Damage Limits *

Uninsured Boated Limits

Comprehensive Deductible

Watercraft & Boat Insurance Quote

Watercraft & Boat Insurance Quote Form

Boat/Personal Watercraft (PWC) Information

Motor Information

Trailer Information

General Underwriting Questions

Driver Information

Tickets, Accidents or Losses

Coverage Information

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