Personal Watercraft Insurance Quote Request

Applicant Information

What information will you need?

You will need information on each owner and/or operator, each watercraft and trailer any liens, specific coverages desired and any losses, accidents or violations.¹

If you live outside of MA, NH, CT, ME, CO or GA, please contact us directly at 508.263.6978.

First, Tell Us About the Named Insured(s) . . .

First name:

Last name:

Mailing address:

City:

State:

Zip:

Residence address (if different):

Phone:

Email address:

Is there a second insured?

yes no

First name (second insured):

Last name (second insured):

Mailing address:

City:

State:

Zip:

Residence address (if different):

Phone:

Email address:

¹ Insurance companies use information gathered from you and often from outside sources about your insurance claim history, property and credit history. This allows them to determine the proper insurance premium pricing and provide a more accurate quote. Accessing your credit information for this purpose has no impact on your credit rating. By submitting this form, you are authorizing DCU Insurance and/or our insurance carriers to access your insurance reports.

* Required fields.

Coverages Information

Tell us about the coverages you desire . . .

Bodily Injury (BI) to others (mandatory)

Property Damage (PD) (mandatory)

Bodily Injury and Property Damage (BIPD) Combined Single Limit (CSL)
(may be chosen in place of Bodily Injury and Property Damage above)

Waterskiing and towing sports liability

Included at the same limits as Bodily Injury and Property Damage above

Medical payments

Uninsured watercraft coverage (cannot exceed Bodily Injury selection above)

Physical damage coverage deductible

Towing and assistance

Would you like these coverages to apply to all watercraft on the policy?

yes no

Please explain:

For members living in MA, NH, CT, ME, CO and GA

Applicant Information

First, Tell Us About the Named Insured(s) . . .

Owners/Operators/Watercraft Information

Next, tell us about the owner/operators and watercraft . . .

Owner/Operator 1

Owner/Operator 2

Owner/Operator 3

Owner/Operator 4

Watercraft 1

Watercraft 2

Watercraft 3

Watercraft 4

Trailer 1

Trailer 2

Coverages Information

Tell us about the coverages you desire . . .

Final Questions

Finally, Just a Few More Questions . . .