Watercraft Questionnaire

    Please provide the following information for EACH DRIVER of the watercraft:

    Boat/Motor/Trailer Information:

    Motor Type

    Where is the boat kept during boating season?

    Where is the boat stored during the off season?

    Current Insurance Info:

    Loss Settlement Type

    Additional Info:

    If you have a copy of your current "Declaration Page", please forward that to us as proof of prior coverage and to use for comparison purposes.
    Submission of information for a quote in no way binds coverage. Personal information will be used solely for underwriting purposes. Submission of information gives the
    Gary J Bach Agency permission to run all reports necessary to quote accurate insurance premiums.