Secure Your Voyage Today Quickly get personalized insurance rates for peace of mind on the water Get Your Marine Insurance Quote "*" indicates required fields CommentsThis field is for validation purposes and should be left unchanged.Tell Me About YourselfNamed Insured* First Last Mailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth* MM slash DD slash YYYY Marital Status-Select-SingleMarriedDomestic Partner (Unmarried)WidowedSeparatedDivorcedFiance or FianceeOtherUnknownCivil Union / Registered Domestic PartnerDrivers License #Drivers License State-Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWatercraft InformationType of Boat*-Select-AirboatBass Boat / Walleye BoatCruiser / RunaboutCenter ConsoleHouseboatHigh Performance BoatPersonal WatercraftPontoon / TritoonSailboatSki / Wake BoatSport FishTrawler / Motor YachtOtherYear*-Select-20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950Manufacturer*Model*Length in ft.*-Select-101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100100+Hull Material*-Select-FiberglassAluminumWoodInflatableSteelOtherPropulsion Type*-Select-InboardOutboardInboard/OutboardJetNone/ManualCurrent Value (Not Including Trailer)*Purchase Date* MM slash DD slash YYYY Do this boat have a trailer?* Yes No Mooring and UsageHow is the watercraft stored?*-Select-Residence - On TrailerResidence - In-waterResidence - On LiftMarina - In-waterMarina - Rack StorageStorage FacilityOtherWhere is the Vessel Typically Used?* Inland Lakes / Rivers Great Lakes Gulf Coast East Coast (North of Florida) Florida West Coast Bahamas Great Loop How do you use your watercraft?* Pleasure Use Charter Operations Liveaboard / Primary Residence Business/Commercial Use Racing/Speed Contests - Sail only Approx how many days a year do you run charters?Is there more than 1 owner (not including a spouse)?* Yes No Is the watercraft titled in the name of a company or corporation?* Yes No Prior Boating ExperienceBoater Training Completed*-Select-NoneState Operator CoursePower SquadronsTres Martin High PerformanceCaptains LicenseOtherYears of Total Boating Experience*-Select-NoneLess than 1 year1-33-55-1010-2020+Final QuestionsHave you had any felony convictions in the past 10 years? Yes No Have you had any boat insurance losses in the past 5 years?* Yes No Is your watercraft currently insured?* Yes No Contact InformationMobile Phone*Email* How did you hear about Massetti Marine Insurance?*-Select-GoogleFacebookInstagramTiktokFamily / FriendDealership / Yacht BrokerDate you want this policy to start* MM slash DD slash YYYY SMS Text Messaging* By Checking this box, you agree to receive SMS text messages from Massetti Marine Insurance related to conversational purposes. You may reply STOP to opt-out at any time. Acknowledgement* By proceeding with obtaining a quote from On The Water Marine Insurance, you consent, where applicable, to allow us and our affiliated insurance brokers/carriers to obtain and review your credit-based insurance score, motor vehicle report (MVR), and claims history as part of the insurance quoting and underwriting process. This information will be used solely to determine your eligibility and rates for insurance, adhering to the Fair Credit Reporting Act (FCRA) and other relevant laws, ensuring the confidentiality and security of your personal information. Additionally, by providing your contact information you agree to our communication policy, which allows us to contact you regarding your insurance quote via phone, email, or recorded voicemails. You may opt out of these communications at any time. All the above information is accurate and true to the best of my knowledge.
