Pleasurecraft / Boat Application

Download the printable PDF below OR Fill out the online form below:

For a straightforward way of obtaining a quote for your Pleasure Craft insurance needs, simply fill out the two paged PDF form and email it to mail@wvins.ca.

Watercraft Insurance PDF

Owner(s) Full Legal Name (required)

Date of Birth YYYY-MM-DD (required)

Address/Postal Code (required)

Occupation (required)

Email (required)

Phone (required)

How did you hear about us?

Operator(s) Experience

Number of Years as Boat Owner (required)

Length & Types of Boats Owned (required)

Previous Insurer

Expiry Date YYYY-MM-DD

Has insurance ever been Declined or Cancelled?
NoYes

Provide Details

Operator(s) Information

Operator #1

Name

Birth Date YYYY-MM-DD

# of Years Operating a Boat

Length & Type of Boats Operated

Boating Courses Passed
Pleasurecraft OperatorPower SquadronMember of Cruising Club

Principal Operator?
YesNo

Operator #2

Name

Birth Date YYYY-MM-DD

# of Years Operating a Boat

Length & Type of Boats Operated

Boating Courses Passed
Pleasurecraft OperatorPower SquadronMember of Cruising Club

Principal Operator?
YesNo

Operator #3

Name

Birth Date YYYY-MM-DD

# of Years Operating a Boat

Length & Type of Boats Operated

Boating Courses Passed
Pleasurecraft OperatorPower SquadronMember of Cruising Club

Principal Operator?
YesNo

Have any Owner(s)/Operator(s) had any losses or marine related insurance claims in the past 5 years?
NoYes

Provide Details

Vessel Information

Year (required)

Make (required)

Model (required)

Length (required)

Date Purchased YYYY-MM-DD (required)

Purchase Price (required)

Current Market Value

Vessel Hull Number

Vessel Type (required)

Hull Construction (required)

Date of most recent survey YYYY-MM-DD (please attach copy of survey)

Anti Theft Tracking System (required)
YesNo

Tender/Dingy (required)
NoYes

Provide Details

Trailer

Year

Make

Model

VIN

Value

Engines

Inboard Propeller stays in water	In-Out Propeller can raise out of the water	Outboard Entire Engine is outside of hull	Auxiliary/Kicker Smaller motor for trolling/fishing	Jet Propulsion Boat is propelled by a stream of water ejected from motor

Please do not hesitate to reach out if you have any questions at all.

The right products, great service, the best people

Contact Us

Phone: 1–800–663–4200 or (250) 860-6700
Fax: (250) 861–6060
Email: mail@wvins.ca

Hours:
Monday to Friday: 8:30am – 5:00pm
Closed Weekends and all Statutory Holidays.

156-1876 Cooper Road
Kelowna BC
V1Y 9N6