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The Charter Lakes Insurance Application form plays a crucial role for those seeking watercraft insurance. It captures essential personal and watercraft information, ensuring that applicants provide necessary details about their vessels. Individuals start by entering their personal information, including name, marital status, and contact details. Next, the form requires specifics regarding the type of watercraft, such as size, manufacturer, and any additional features like engines and equipment. Coverage options are also critical; applicants can request various hull values, liability limits, and other insurance features. Additionally, the form covers important navigation and mooring information, addressing how and where the watercraft will be used and stored. Applicants must disclose their boating history, including any previous claims, while factors concerning criminal records or driving violations affecting coverage are also considered. Overall, the application is comprehensive, covering all aspects necessary for evaluating risk and determining appropriate coverage for watercraft insurance.

Form Sample

 

 

3940 Peninsular Dr SE, Suite 100, Grand Rapids, MI 49546-6107

(800) 879.2248 FAX (616) 975.0670

 

 

 

 

 

 

 

 

 

 

Website: www.charterlakes.com

 

 

 

 

 

 

E-mail: [email protected]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WATERCRAFT INSURANCE APPLICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REGISTERED OWNER OR LEASEE – NAME(S)

 

 

 

 

 

 

 

 

 

 

DOING BUSINESS AS

 

 

 

 

 

 

 

MARITAL STATUS

 

 

RESIDENCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARRIED

SINGLE

 

OWNED

RENTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHYSICAL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS (IF DIFFERENT THAN PHYSICAL ADDRESS)

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME PHONE

 

 

 

 

 

 

 

 

 

CELL PHONE

 

 

 

 

 

 

 

 

 

FAX NUMBER

 

 

 

 

 

 

 

 

 

EMAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVERS LIC. NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

 

OCCUPATION

 

 

 

 

 

 

 

S.S. #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WATERCRAFT / TRAILER

/ DINGHY INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF VESSEL

 

 

CRUISER / MOTOR YACHT

SAILBOAT

 

FLATS SKIFF

 

BASS BOAT

DRIFT BOAT

CENTER CONSOLE

 

 

 

 

 

SPORTFISH

 

 

 

 

 

 

 

PONTOON

 

AIRBOAT

 

 

 

 

OPEN FISHING

TRAWLER

RUNABOUT

 

 

 

YEAR

 

LENGTH

 

 

 

MANUFACTURER

 

 

 

 

 

 

 

 

 

 

 

 

 

MODEL

 

 

 

 

 

 

 

HULL MATERIAL

BEAM

WEIGHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF YACHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REG./DOC. NO.

 

 

 

 

 

 

 

 

 

 

 

 

HULL I.D. NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PURCHASE DATE

 

 

 

 

 

 

 

 

 

 

PURCHASE PRICE

 

 

 

 

NEW REPLACEMENT COST

 

 

 

 

 

DATE OF LAST SURVEY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MACHINERY

 

GAS

 

YEAR OF ENGINE

 

 

MFG AND MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO. OF ENGINES

 

H.P. EACH

 

 

 

 

DIESEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAX SPEED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERIAL NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF DRIVE

OB

 

IB

IO

 

 

 

JET DRIVE

SURFACE DRIVE

SERIAL NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERIAL NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EQUIPMENT

 

 

GPS / SAT NAV / LORAN

 

 

RADAR

 

 

 

LIFE RAFT

 

 

 

 

 

HIGH WATER ALARM

 

 

TRAILER BALL OR AXLE LOCKS

 

 

 

 

VHF / SHIP TO SHORE

 

 

CHART PLOTTER

 

 

AUTO CO2 OR HALON

 

 

CO DETECTOR

 

 

ANTI THEFT DEVICE

 

 

 

 

 

 

 

 

 

 

DEPTH FINDER

 

 

 

 

 

AUXILIARY GENERATOR

FUME DETECTOR

 

 

OB / OUTDRIVE LOCKS

EPIRB

 

 

 

 

 

 

 

TRAILER

 

 

YEAR

 

 

 

 

MANUFACTURER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERIAL NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DINGHY

 

 

 

 

 

YEAR

 

 

 

 

 

LENGTH

 

 

 

MANUFACTURER

 

 

 

 

 

 

SERIAL NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DINGHY ENGINE

 

YEAR

 

 

 

 

H.P.

 

 

 

 

 

MANUFACTURER

 

 

 

 

 

 

SERIAL NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COVERAGE INFORMATION (Client must complete)

 

 

 

 

 

 

 

 

 

 

 

 

HULL VALUE REQUESTED (inc. engine(s) & electronics)

$

 

 

 

 

 

 

 

 

 

 

 

 

MEDICAL PAYMENTS

 

YES

NO

 

 

 

HULL DEDUCTIBLE REQUESTED

 

 

 

 

 

 

 

 

 

 

1%

2%

3%

4%

 

 

5%

 

UNINSURED BOATERS

 

YES

NO

 

 

 

LIABILITY LIMIT REQUESTED

 

 

 

 

 

 

 

 

 

 

 

 

$100,000

$300,000

$500,000

 

TOWING

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$1,000,000

 

OTHER

$

 

 

 

 

 

DINGHY VALUE (inc. engine)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL EFFECTS & FISHING EQUIP.

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

TRAILER VALUE

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAVIGATION AND STORAGE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

OPERATING PERIOD (ALL USES OF VESSEL)

 

 

DESCRIBE ALL WATERS NAVIGATED AND MAXIMUM MILEAGE OFFSHORE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR ROUND

 

 

 

SEASONAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOORING LOCATION

 

 

 

MARINA

 

 

 

 

 

 

 

NAME OF MARINA (IF APPLICABLE)

 

 

 

 

 

 

 

 

 

 

SLIPPED

 

TRAILERED

 

 

 

 

 

PRIVATE RESIDENCE

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF MOORING

 

DRY STORAGE

 

MOORING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIFT

 

OTHER

 

 

 

 

COUNTY OF MOORING LOCATION

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

STATE

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAY-UP LOCATION

 

VESSEL IS STORED (DURING SEASONAL LAY-UP)

 

 

 

 

 

 

 

WARRANTED LAY-UP PERIOD (MM/DD)

Ex.

11/1 to 4/1

 

 

 

 

 

 

 

ASHORE

 

 

 

 

AFLOAT

 

 

 

 

 

 

 

 

 

FROM

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF LAY-UP LOCATION

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

STATE

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCIDENT

LOSS HISTORY: Have you ever filed a marine claim?

 

 

YES (PLEASE EXPLAIN BELOW)

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIST ALL MARINE INSURANCE CLAIMS YOU OR YOUR OPERATOR HAVE FILED REGARDLESS OF VESSEL INVOLVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(INCLUDING BODILY INJURY TO PASSENGERS OR CREW). IF MORE ROOM IS NEEDED PLEASE USE SEPARATE SHEET OF PAPER.

 

 

 

 

 

DATE

DETAILS OF CLAIM

 

AMOUNT PAID

STATUS

 

$

 

OPEN

 

 

CLOSED

 

$

 

OPEN

 

 

CLOSED

 

$

 

OPEN

 

 

CLOSED

CONTINUED ON SECOND PAGE

CLAKES APP_pleasure REV. 05/19

CONTINUED

GENERAL INFORMATION

IS THIS VESSEL USED FOR CHARTER OR ANY OTHER COMMERCIAL PURPOSES?

IF YES, PLEASE EXPLAIN

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO YOU TOW SKIERS?

IS VESSEL USED FOR RACING?

 

IS VESSEL USED AS A LIVEABOARD?

PRIMARY RESIDENCE

 

 

YES

NO

YES

NO

 

 

YES

NO

 

SECONDARY RESIDENCE

 

 

HAS ANY NAMED INSURED EVER BEEN

CONVICTED OF A

 

ANY DRIVING

VIOLATIONS IN THE LAST THREE

 

HAVE YOU EVER BEEN REFUSED INSURANCE OR

 

FELONY?

YES (PLEASE EXPLAIN BELOW)

NO

 

YEARS?

YES (PLEASE EXPLAIN BELOW)

NO

CANCELLED?

YES (PLEASE EXPLAIN BELOW)

NO

ANY EXISTING OR PRIOR DAMAGE TO THE YACHT?

YES

NO

CURRENT INSURANCE CARRIER

 

EXPIRATION DATE

CURRENT PREMIUM

 

IF YES, EXPLAIN ON FIRST PAGE UNDER CLAIM INFORMATION

 

 

 

 

 

 

 

$

 

LIST PREVIOUS VESSELS OWNED OR OPERATED:

#

YEAR

LENGTH

MANUFACTURER

OWNED

1. OPERATED

OWNED

2. OPERATED

OWNED

3. OPERATED

OPERATOR / CREW INFORMATION

# YEARS

# YEARS BOATING EXPERIENCE

ARE YOU A LICENSED CAPTAIN?

# YRS LICENSED

 

HAVE YOU COMPLETED A BOATING SAFETY COURSE?

YES

NO

 

 

YES

NO

 

 

IF YES, PLEASE INDICATE:

USPS

USCG

 

USCG AUX

 

 

 

 

 

 

 

 

 

 

 

 

IS VESSEL OWNER OPERATED?

DO YOU EMPLOY A CAPTAIN?

DO YOU EMPLOY

CREW?

HOW MANY?

CAPTAIN & CREW COVERAGE REQUESTED?

YES

NO

YES

NO

YES

NO

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

LIST ADDITIONAL OPERATORS BELOW

#

1.

2.

3.

NAME

DATE OF

DRIVERS LICENSE NUMBER & STATE

YRS. OPERATING

USCG

 

BOATING

BIRTH

EXPERIENCE

LICENSE

CLAIMS

 

 

 

 

 

 

 

 

YES

NO

YES

NO

 

 

 

 

YES

NO

YES

NO

 

 

 

 

YES

NO

YES

NO

CORPORATE OWNERSHIP AND CORPORATE OFFICERS

NAME

PERCENTAGE OWNERSHIP

TITLE

DO YOU OPERATE VESSEL

USCG LICENSED

 

 

 

YES

NO

YES

NO

 

 

 

YES

NO

YES

NO

 

 

 

YES

NO

YES

NO

ADDITIONAL INSURED / CERTIFICATE HOLDER / LOSS PAYEE INFORMATION

(PLEASE ATTACH ADDITIONAL SHEET IF MORE SPACE IS NEEDED)

 

NAME

 

ADDRESS: STREET, CITY, STATE, ZIP

 

INTEREST

 

 

 

 

 

 

AI

CERT HOLDER

LOSS PAYEE

 

 

 

 

 

 

 

 

 

 

 

 

AI

CERT HOLDER

LOSS PAYEE

 

 

 

 

 

 

 

 

 

 

 

 

AI

CERT HOLDER

LOSS PAYEE

 

 

 

 

 

 

 

 

 

 

 

SPECIAL CONDITIONS / COMMENTS

 

 

 

 

 

 

(PLEASE USE TO EXPLAIN ANY “YES” RESPONSES WHERE AN EXPLANATION IS REQUESTED)

 

 

 

1.Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance containing any materially false information, or conceals for the purposes of misleading, information concerning a fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties.

2.As part of underwriting procedures, an investigative consumer report may be made which could include information regarding your character, general reputation, personal characteristics and mode of living. This information will be used solely by the underwriting insurance company(s). Future reports may be used for an update, renewal or extension of your insurance. At your request, we will provide you with the sources of these reports, their addresses and customer service phone numbers for verification and correction of your information.

3.By signing this document I declare that the statements within this Watercraft Application are true to the best of my knowledge and belief. The selections indicated within this Watercraft Application accurately reflect the limits, coverages and deductibles I desire. I understand and agree that the company may obtain from third parties information regarding me, my watercraft, and listed operators, including driving records, financial credit information and prior claims information. I understand that I have the right of access and correction with respect to all such information collected and that the company will provide further information regarding my statutory rights upon request.

 

HOW DID YOU HEAR ABOUT US?

EFFECTIVE DATE OF COVERAGE

APPLICANT SIGNATURE

DATED

 

 

 

 

 

 

My (the producer) signature verifies that all of the information on the application has been obtained by me

PRODUCER (AGENT) SIGNATURE

DATED

from the applicant and that I have no reason or basis to believe that the information is anything but truthful.

 

 

 

 

 

 

 

PAGE 2

CLAKES APP_pleasure REV. 05/19

Document Specifications

Fact Name Description
Contact Information The form provides contact details for Charter Lakes Insurance, including an address in Grand Rapids, MI, a phone number, and an email address.
Personal Information Applicants must provide various personal details, such as name, marital status, address, and phone numbers.
Vehicle Information The form requires detailed data about the watercraft, including type, year, manufacturer, and registration numbers.
Coverage Selections Applicants must select their desired hull value, deductibles, and additional coverage options like medical payments and uninsured boaters.
Operating Information Specifics about the operating period, navigation waters, and lay-up locations are to be filled out by the applicant.
Claim History The form asks for details regarding any previous marine insurance claims, including payments and current statuses.
General Information Questions address whether the vessel is used for commercial purposes, towing, or racing and require explanations where applicable.
Signature Requirement The applicant must sign the form, affirming that all information is true and that they understand the implications of false reporting.

Steps to Filling Out Charter Lakes Insurance Application

Completing the Charter Lakes Insurance Application form is a straightforward process. By providing accurate information, you can help ensure that your application is processed smoothly. Below are the steps to guide you through filling out the form. Make sure to gather all the necessary details before you start.

  1. At the top of the form, fill in your personal information, including your name (as the registered owner or leasee), marital status, physical address, mailing address (if different), and contact information (home phone, cell phone, fax number, and email address).
  2. Provide your driver’s license number, date of birth, occupation, and Social Security number.
  3. Detail your watercraft information. Select the type of vessel you own from the list provided (e.g., cruiser, sailboat, pontoon). Include the year, length, manufacturer, model, hull material, weight, registration/document number, hull identification number, purchase date, purchase price, and new replacement cost.
  4. For machinery, indicate whether your engine is gas or diesel, provide the year of engine manufacture, model number, number of engines, horsepower for each, and max speed. Specify the type of drive and its serial number.
  5. List any additional equipment on your vessel, such as GPS, radar, or anti-theft devices. Mention if you have a trailer, including the year, manufacturer, and serial number.
  6. In the coverage section, enter the hull value requested, medical payments preference, hull deductible preference, uninsured boaters option, liability limit requested, towing preference, and any other coverage details.
  7. Describe the navigation and storage information. Indicate the operating period, waters navigated, mooring location, and the name and address of the marina, if applicable. Note the lay-up location and period.
  8. Answer the accident loss history section, indicating whether you have filed a marine claim. Provide details on any claims made, including dates and amounts.
  9. Complete the general information section, responding to questions about the vessel’s use for commercial purposes, racing, or liveaboard status. Disclose any felony convictions or driving violations.
  10. Provide details of any existing or prior damage to the yacht and current insurance information. If applicable, list previous vessels owned or operated.
  11. Fill out the operator/crew information section noting years of boating experience, whether you’re a licensed captain, and whether you've completed a boating safety course. Include information about additional operators.
  12. If applicable, complete the corporate ownership section by listing corporate officers, ownership percentages, and licensing details.
  13. Include any additional insured, certificate holder, or loss payee information as required. Attach additional sheets if necessary.
  14. Review the special conditions/comments section. Use it for any explanations needed for "yes" answers throughout the form.
  15. Carefully read the statements about accuracy and potential consequences of providing false information. Then sign and date the application.
  16. Lastly, note how you heard about Charter Lakes Insurance and provide the effective date of coverage.

More About Charter Lakes Insurance Application

What is the purpose of the Charter Lakes Insurance Application form?

This form is necessary for individuals who want to apply for marine insurance coverage for their watercraft, including boats and trailers. It gathers important personal and vessel-related information, helping the insurance company assess risk and determine appropriate coverage options for the applicant.

What personal information do I need to provide?

You will need to supply personal details such as your name, contact information, marital status, driver's license number, date of birth, and occupation. This information helps establish your identity and background for the insurance assessment process.

What kind of details are required about the watercraft?

The application requires specifics about your vessel, including the type, year, manufacturer, hull identification number, and equipment on board. Additionally, it asks for information about any trailers or dinghies associated with the watercraft. These details help the insurance company evaluate the value and condition of the vessel.

How do I state my coverage preferences?

Within the application, you can indicate your desired hull value, deductibles, and liability limits. Other options include medical payments and towing coverage. Make sure to review all the choices carefully to ensure you select the coverage that best meets your needs.

Is there a section for reporting past claims or history?

Yes, the form includes a section where you can report any previous marine claims you've filed. This is important, as it helps the insurance company assess your risk profile. If you have had claims, provide the details including dates, amounts paid, and the current status of those claims.

What happens if I have multiple operators for my vessel?

You can list additional operators on the application. This includes their names, dates of birth, driver's license numbers, and boating experience. It’s essential to disclose all operators, as this information plays a role in determining your insurance policy and potential coverage limits.

Will I be penalized for providing inaccurate information?

Yes, the application warns that submitting false information with the intent to mislead can result in serious consequences, including criminal and civil penalties. Always make sure the information you provide is accurate and truthful to avoid any complications in the insurance process.

Common mistakes

  1. Incomplete Personal Information: Failing to provide all requested details can lead to delays or denial of coverage. This includes missing information such as phone numbers, email addresses, and driver's license numbers.

  2. Incorrect Vessel Information: It is crucial to accurately describe the watercraft, including the type of vessel, year, and specifications. Mistaking these details may result in coverage gaps or higher premiums.

  3. Omitting Accident History: Skipping the section on accident loss history can be detrimental. Not informing the insurer about past marine claims can be perceived as misleading and may affect policy conditions.

  4. Misunderstanding Coverage Options: Many applicants do not fully grasp the implications of selected coverages, limits, and deductibles. A failure to understand these choices could negatively impact future claims.

  5. Failure to Detail Additional Operators: Not listing all individuals who may operate the vessel can cause issues if an accident occurs. Each additional operator should be documented to ensure that insurance coverage extends to them as well.

Documents used along the form

The Charter Lakes Insurance Application form serves as a vital document for individuals seeking insurance coverage for their watercraft. Along with this form, several other documents may be required to support the application process. Below is a list of common forms and documents often used in conjunction with the Charter Lakes Insurance Application.

  • Proof of Ownership: Documentation that confirms ownership of the watercraft, such as a title or bill of sale. This verifies that the applicant is the rightful owner seeking insurance.
  • Previous Insurance Policy: A copy of the applicant's prior insurance policy can provide the insurer with details on coverage history. This is helpful in determining the new policy's terms and rates.
  • Claim History Report: This report outlines any previous insurance claims related to the watercraft. Providing this information helps the insurer assess risk and make informed decisions.
  • Safety Course Certification: Proof of completion of a boating safety course may be required. Such certification demonstrates the applicant’s commitment to safe boating practices.
  • Personal Identification: A valid government-issued photo ID, such as a driver’s license, is often necessary. This helps verify the identity of the applicant and supports the accuracy of the information provided.

Gathering these documents in advance can facilitate a smoother application process. If you have any questions about what is needed, do not hesitate to reach out for assistance.

Similar forms

The Boat Registration Application is quite similar to the Charter Lakes Insurance Application form. Both documents require personal information about the boat owner, including their name, address, and contact details. They establish a framework for gathering specific details about the watercraft, such as its type, model, and registration numbers. Additionally, these forms often inquire about any existing liens against the boat, ensuring that ownership is clearly established before the application for registration or insurance is processed.

The Vehicle Insurance Application shares notable similarities with the Charter Lakes Insurance Application form. Both forms seek to collect detailed information regarding the applicant's personal details along with specifics about the vehicle, like make, model, for what purposes it will be utilized, and its coverage needs. In addition, both documents probe into the applicant’s driving history and past claims, thereby assessing risk factors and determining suitable premiums.

The Homeowners Insurance Application also reflects parallels with the Charter Lakes Insurance Application form. Each document requests personal information such as the homeowner’s details and property specifics. Both applications aim to establish the value of the insured item, with homeowners listing the property's worth and boat owners detailing the vessel's value. Furthermore, both documents inquire about any past claims made by the client to better assess potential risk in future coverage.

This Health Insurance Application makes a striking correlation to the Charter Lakes Insurance Application form through its format and content structure. Each form requires personal details as well as information that helps assess the risk. For health, information about medical history is collected, while for watercraft, the applicant provides details about the boat's history and usage. Both strive to evaluate potential claims while maintaining applicant confidentiality.

The Recreational Vehicle (RV) Insurance Application is yet another document akin to the Charter Lakes Insurance Application form. Both applications gather essential personal details and specifics about the recreational vehicle or boat. They examine usage patterns and necessary coverage options, allowing insurers to factor in the client’s past claims history and overall driving record to tailor an appropriate policy.

The Motorcycle Insurance Application closely resembles the Charter Lakes Insurance Application form in terms of structure and intent. Both require personal information and specifics regarding the vehicle, including make, model, and safety features. They also delve into prior insurance claims, ensuring that the insurer fully understands the risk associated with insuring the vehicle, allowing them to determine the right coverage options for the applicant.

The Commercial Marine Insurance Application showcases resemblance to the Charter Lakes Insurance Application form, primarily through the attention to detail regarding the vessel. Both documents collect extensive information about the owner's personal details, vessel type, and usage. They also intersect at the point of previous claims history, assessing whether the applicant has made claims in the past to evaluate associated risk for underwriting considerations.

Similarly, the Rental Watercraft Agreement corresponds with the Charter Lakes Insurance Application form, especially in the information collected regarding the watercraft. Each document requires detailed identification and description of the watercraft, towing arrangements, and operational specifics. Furthermore, both necessitate disclosures of previous claims or accidents involving the crafts to help the insurer gauge the risk profile of the applicant.

Finally, the Life Insurance Application draws a few parallels to the Charter Lakes Insurance Application form. Although the subjects differ, both forms require comprehensive personal information from applicants. While the life insurance application focuses on health and family history, the watercraft application emphasizes boating history and vessel details. Each document ultimately seeks to evaluate the risks involved before finalizing policies or coverage.

Dos and Don'ts

When filling out the Charter Lakes Insurance Application form, it is crucial to ensure accuracy and completeness. Here are four critical dos and don'ts to keep in mind.

  • Do provide accurate personal information, including your full name, address, and contact details.
  • Do disclose all relevant watercraft information, such as type, year, and hull identification number.
  • Don't omit any previous claims, as this could lead to complications or denied coverage.
  • Don't rush through the application; take your time to ensure each section is thoroughly completed.

By following these simple guidelines, you can help facilitate a smoother application process and improve your chances of obtaining the coverage you need.

Misconceptions

Misconceptions can often lead to confusion when filling out the Charter Lakes Insurance Application form. Here are six common misunderstandings clarified:

  • Personal Information is Optional: Some believe that personal details like Social Security numbers and driver licenses are not crucial. In reality, these details are vital for accurate identification and processing.
  • One Type of Vessel Only: There's a misconception that applicants can only insure one type of vessel. However, the application accommodates multiple watercraft, including dinghies and trailers.
  • Claim History Doesn't Matter: Many think their past marine claims do not impact their application. Yet, the insurance company uses this history to assess risk and determine premiums.
  • Coverage Limits are Fixed: Some assume that coverage options are set and cannot be adjusted. In fact, applicants can choose different limits for liability and hull value based on their needs.
  • False Information is Harmless: There is a belief that providing inaccurate information won't have consequences. This is false; doing so can lead to denial of coverage or even legal penalties.
  • Signing Means Immediate Coverage: Many think that signing the application guarantees instant insurance. However, the application must still be reviewed and approved by underwriters before coverage becomes effective.

Key takeaways

1. Provide Complete and Accurate Information: It is essential to fill out the Charter Lakes Insurance Application form completely. Include all required personal information and details about the watercraft. Accuracy is crucial to avoid potential delays in processing your application.

2. Understand Coverage Options: Carefully review the coverage options available, including hull value, medical payments, and liability limits. Make choices that best suit your needs and discuss any questions with a knowledgeable representative to ensure adequate protection.

3. Disclose Marine Claims History: Be open about any past marine insurance claims, including details regarding dates and statuses. Failure to disclose this information may affect the approval of your application.

4. Follow Up on the Application Status: After submitting the form, keep track of the application status. You can reach out to Charter Lakes via phone or email if you have questions or need updates regarding your coverage.