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Falcon West Insurance Applications

Application: Academy
Careers: Falcon West Personal Lines Account Manager Application
File Transfer to Falcon West Energy
File Transfer to Falcon West Insurance
Home Page
Insurance Start
Intake: Boat and Craft
Intake: Business
Intake: Energy Consultants
Intake: Landlord 1-4 Units
Intake: Personal
Intake: Policy Upload
Photo Timestamp Tool
Privacy Policy
Thank You
Welcome to Falcon West

Falcon West Insurance Applications

Application: Academy
Careers: Falcon West Personal Lines Account Manager Application
File Transfer to Falcon West Energy
File Transfer to Falcon West Insurance
Home Page
Insurance Start
Intake: Boat and Craft
Intake: Business
Intake: Energy Consultants
Intake: Landlord 1-4 Units
Intake: Personal
Intake: Policy Upload
Photo Timestamp Tool
Privacy Policy
Thank You
Welcome to Falcon West

Boat and Craft Insurance Application

This comprehensive insurance application will allow us to shop for your boat or personal watercraft coverage across all our carriers.

Before you begin:

We recommend having the Hull ID (HIN) for your vessel and driver's license numbers for all operators.

We look forward to working with you!

Boat Information

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Broker Name

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Broker Email

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Client Name

First Last

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Client Phone

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Client Email

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Need By / Expiration Date

MM slash DD slash YYYY

Year

Make

Model

Hull Value

This should include Motor value

Length (in feet)

Hull Material

Hull ID (HIN) / Serial Number

Great for speeding up quotes, but not required.

Engine Specifications

Engine Type

Inboard (Covered)

Outboard (Exposed)

Engine Size / Horsepower

Max Speed

Fuel Type

Regular

Diesel

Year Purchased

Storage

Storage Type

Afloat

Dry Ground

Marina Name

Marina Address

Navigation

Basic Navigation

Ocean / Coastal

Inland lakes

Coastal Ranges

Example: down to Baja, Gulf Up to Alaska etc.

Operators of the Boat

Please add information for operators.

Name

First Last

Years of Experience Owning Boats

Date of Birth

MM slash DD slash YYYY

Driver's License Number

Any tickets or accidents?

Trailer Information

Do you have a trailer?

Yes

No

Trailer Year

Trailer Make

Trailer Model

Trailer Serial Number

Trailer Value

Δ

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5353 Mission Center Road, Suite 215, San Diego, CA 92108 | CA Lic# 0616640

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