EXPAT INSURANCE IN SPAIN

   Existing Clients, New Quotes and Enquiries       Call Us on 0034 966 740 188,    Mon - Fri, 10.00 a.m. to 6.00 p.m.  

Policy Renewals, New Quotes and General Enquiries     Call Us on 0034 965 302 124,    Mon - Fri, 10.00 a.m. to 4.00 p.m.

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EASY EXPAT PREMIUM PAYMENT SCHEME AVAILABLE SUBJECT TO STATUS.  CALL US FOR DETAILS TODAY 0034 966 740 188

MARINE INSURANCE QUOTATION REQUEST

For a speedy response and a no-obligation quotation, please complete the form below, press the submit button and we will contact you.  Alternatively, if you wish to speak to someone direct please call (0034) 966 771 073 or (0034) 618 049 086

If you require cover on Saturday, Sunday or during fiestas you will need to also call us on 0034 618 049 086

FOR BEST RESULTS PLEASE COMPLETE ALL SECTIONS OF THE FORM

PROPOSER DETAILS
Surname   First Name
 
Telephone   NIE or Passport No.
 
 
Date of Birth Nationality
 
Address
Province Postcode
Occupation    
   
Email Address    
Please give details of boating experience (a) for yourself and (b) any other person in charge of the vessel
Are you the owner of the vessel Is the vessel subject to a marine mortgage
   
Mortgage Lender Mortgage Number
   

VESSEL DETAILS
Name of Vessel                                  
Port of Registration                             
Vessel Registration No.                       
Where will the vessel be laid up           
Where is the vessel usually moored      
Type of Berth                                     
Type of vessel                                     
Construction of Vessel                        
Was the vessel wholly built by
professional boat builders                    
If no, please give details                     
Has the vessel ever been converted     
If yes, please provide details              
Year of Build                                      
Manufacturer                                      
Hull Number                                       
Overall Length (metres)                       
Beam (metres)                                    
Draught                                              
Use of Vessel                                     
Speed of Vessel (knots)                      
Date of last survey (if applicable)         
Name of Surveyor                              
Area of Use                                       
Total Sum Insured                               
How many claim free years                 
Amount required for personal effects   
Original purchase price of Vessel         

SAFETY EQUIPMENT
Do you carry emergency equipment and/or radio      
Is the equipment in good working order and working
Is gas used on board                                                
If yes, where are the cylinders located                        
Are they vented overboard in case of leakage           
Do you have fire extinguishers on-board                          
How many fire extinguishers do you have                         
What type are they                                     
Do you require cover against liability to or of
waterskiers being towed by your vessel                   

ENGINE DETAILS
Please state make of engine(s)               
Please state type of engines                     
Number of engines                                                                    
Horsepower                                                                                 
Fuel type                                                                                     
Are any outboards used with a tender                     
State number of outboards                                                    
Value of outboards in €           
                                                         
Outboard serial numbers       
                                                         
Are outboards permanently locked to transom by cylinder sleeve lock or stored in a locked position when not in use             

DINGY DETAILS
Please state make and model                
Current value €                                                                          
Road trailer value (if applicable)          

ACCIDENTS/CONVICTIONS
Have you had any accident/losses in the last five years in connection with any vessel owned or handled by (a) you (b) any other person who will be in charge of the vessel                                                            
Have (a) you or (b) any other person who will be in charge of the vessel ever been charged with or convicted of any offence of dishonesty or any other offence which might affect the assessment of the risk
Has any insurer in respect of any vessel owned or used by you declined your proposal, refused to renew or imposed special terms, conditions or excess or cancelled the policy                                                 
If yes to any of the above please give details   

PREVIOUS INSURER
Insurer name and address                        
Policy number                                                 
Expiry date                                                       
Please provide any other details you think we should know
Information received is used solely for the purposes of Expat Insurance in Spain. We do not disclose information to any 3rd parties unless specifically requested or if the information is necessary to obtain an insurance quotation on your behalf. The information is also used to update you on new marketing activities and special offers. Should you wish to be excluded from any future mailings please tick the box provided.