Personal Watercraft Quick Quote Form

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P 02 9525 9311
M 0424 266 610
Cover Type:
General Information
Insured First Name: *
Insured Surname: *
Insured Contact No: *
Insured Email Address: *
Are one of the listed approved security devices
utilised whilst your PWC is stored, in transit, or
not in use?
Hitch Helmet
Klamp It
Marine Guard
Trailer Cop / Safety Lock
Have you had at least 12 months continuous
insurance on your PWC with no prior claims or losses?
Yes   No  
Storage Location
State:
Postcode:
Is your PWC stored on a pontoon? Yes  No
Would you like to extend the policy to include Liability
Insurance in relation to the pontoon, if not insured elsewhere?
Yes  No
Liability to Third Parties
How much cover do you want for your liability to
third parties?
Do you want to include skiers liability / aquaplaning risks? Yes  No
Do you want cover for racing risks?
Current AJSBA membership required
Yes  No
Details of the PWC & Trailer

Note:
  • Cover is limited to market value or sum insured, whichever is the lesser
  • We will not insure any PWC (including those that have been Imported) for more than your purchase price.
Three Year New for Old Replacement?
Yes   No  
PWC Proposed Insured Value:  *
Trailer Proposed Insured Value:
Pontoon Proposed Insured Value:
Equipment & Accessories Proposed Insured Value:
Voucher Code:
* Indicates a mandatory field.
We are now offering easy pay by the month Jet Ski Insurance – call us to arrange