Skip to main content

Personal
Business
Benefits

Find a Branch
Claims
Payments
Careers
Contact

Close

Popular searches: auto insurance business insurance property insurance cicc immigration

Select your region

Auto & Recreational
Auto

Car Insurance

Collector Car

Luxury Auto
Recreational

Motorcycle

Boat

Off-Road Vehicle

RV, Motorhome & Trailer
Put the brakes on auto theft.

Find out more
Learn about our Group Rates for Auto Insurance.
Signature by Acera provides custom coverage for high value assets. Find Out More
Home & Property
Home

Home Insurance

Condo

Course of Construction

Luxury Home
Rental

Landlord

Short Term

Tenant
Specialty Property

Equine

Farm

Firearms

Cyber

Pets

Investment Property

Seasonal Property

Valuable & Collections
Protect your home from severe weather.

Learn More
Learn about our Group Rates for Home Insurance.
Signature by Acera provides custom coverage for high value assets. Find Out More
Life, Health & Travel
Life & Health

Life Insurance

Individual Health and Dental Plans

Critical Illness

Disability

Employee Benefits
Travel

Travel Insurance

Adventure Travel
Are you covered if you need to cancel a trip?

Find out more
Get a quote

Find a Branch
Claims
Payments
Careers
Contact

Marine Insurance

Application

Please enable JavaScript in your browser to complete this form.

Client Information

Name (Owner 1) *

First

Last

Date of birth (Owner 1)

Email (Owner 1) *

Add additional owner?

Yes

Name (Owner 2)

First

Last

Date of birth (Owner 2)

Email (Owner 2)

Is the watercraft financed?

Yes
No

Additional insureds / financial provider

Experience of Owners & Operators

Years of owned boat experience (Owner 1)

Years of non-owned boat experience (Owner 1)

Types and sizes of boats operated (Owner 1)

Years of owned boat experience (Owner 2)

Years of non-owned boat experience (Owner 2)

Types and sizes of boats operated (Owner 2)

If there are additional operators, please include their information as listed above

Insurance History

Previous insurer

Has your insurance ever been cancelled or declined?

Yes
No

Do any of the listed owners and/or operators have any losses/claims within the last five years?

Yes
No

Vessel Information

Survey date

Survey recommendations completed?

Yes
No

Vessel manufacturer

Model

Year built

Length

Purchase date

Purchase price ($)

Current market value ($)

Replacement value ($)

Type of boat

Construction

Maximum speed

Any buoy moorage?

Yes*
No

*Please explain

Where is the vessel stored?

Security

Navigational area

Inland water use only?

Vessel usage

Pleasure only
Live aboard
Water/Ski towing activities
Racing*
Charter/commercial*

*Please explain

Main Engine Details

Checkboxes

Single
Twin

Year

Horse power

Make

Model

Motor type

Inboard gas
Inboard/outboard gas
Inboard diesel
Outboard
Jet drive

Explore

Business Insurance

Be certain.

Insurance

- Travel Insurance
- Adventure Travel

Support

Find a Branch
Claims
Payments
Contact
MyAcera App Login
Insurance Glossary
Severe Weather

About

About Us
Leadership
Community
Blog
News
Careers
Our Brands
Selling Your Brokerage

Quick Links

Strata Certificate Request

Follow Us

Facebook
LinkedIn
Instagram

Copyright 2025 – All Rights Reserved.

Developed by Twirling Umbrellas

Go to the Twirling Umbrellas website. (opens in a new tab)

Terms of Service
Cookie Policy
Privacy Policy
Sitemap
Disclosure
RIBO