Full Name:            
Mailing Address:
City:
State:  Washington or Idaho
Zip Code:
Email Address: (Required) 
Home Phone:   Work Phone:   Ext.
How to Contact You:       Cell Phone:
Date of Birth:              (mm/dd/yyyy)
Gender:         Marital Status:
Current Insurance Company: 
Policy Expiration Date:          (mm/dd/yyyy)

Washington Boater Information:

  Boat       Year          Builder        Model            Vessel Type     Length
     1        
     2        

Boat Engine Information:
  Boat       Year       Engine Type       Manufacturer     # of Engines   Engine HP
    1            
    2            

Boat Trailer Information:
  Boat       Year          Builder       Model                Value
     1          
     2          

Mooring/Storage Location
  Boat
     1      
     2      

What types of safety equipment is on your vessel(s)?
(check as many boxes as desired)
  Boat
     1   VHF    Depth Finder    SAT NAV    Auto Halon
          EPIRB    SSB    GPS    Radar
          Loran    CO-2    Fume Detector    Other
     2   VHF    Depth Finder    SAT NAV    Auto Halon
          EPIRB    SSB    GPS    Radar
          Loran    CO-2    Fume Detector    Other

Value of waterskiing and/or fishing equipment:

Is boat used on any private lakes?
  Boat
     1      
     2      

Is boat used in bay and/or coastal waters?
  Boat
     1      
     2      

Is boat used outside U.S. coastal waters?
  Boat
     1      
     2      

Is this a promotional/Memo boat?
  Boat
     1      
     2      

Is boat used for guide service or chartering?
  Boat
     1      
     2      

Is boat used for residence?
  Boat
     1      
     2      

Is boat used for waterskiing?
  Boat
     1      
     2      

Is your driving record accident & violation
free during the past 5 years? 
If No, how many accidents?    How many violations? 

Boat Insurance Coverages Desired For?
(check as many boxes as desired)
Boat(s)    Motor(s)    Equipment    Trailer

Washington Boat Insurance Coverage Information:

                    Liability                  Uninsured
  Boat    Limits(x $1,000)      Boater(x $1,000)       Medical
     1                     
     2             SAME                       SAME                   SAME

                   Collision         Comprehensive
  Boat       Deductible           Deductible
     1             
     2             
List any boating safety education courses completed:


Any boating claims of losses to vessel(s) or
from liability in the past 5 years?
Description of losses:


Additional Information or Comments


Click on the "Submit Quote Request" button below to
send your Washington Boat insurance quote request.**

**Information received from this Washington Boat Insurance quote request form sent to The Fletcher Agency will be for our use only and will not be sold, given to or distributed to any other parties. A quote will be based on the Washington boat insurance policy information provided and does not guarantee acceptance of the risk by us. The precise coverage afforded is subject to meeting underwriting guidelines, and the terms, conditions and exclusions of the policy as issued. By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance. Completion of this form does not entitle you to a Washington Boat Insurance policy. We are licensed in Washington and Idaho, and will not provide boat insurance quotes for other states.


Washington Boat
Insurance Quote
We can provide lower cost Washington Boat Insurance
coverages in Spokane County, WA and throughout the Evergreen State!
The Fletcher Agency of
Spokane, WA offers
affordable and
experienced personal
insurance coverage
services throughout
Washington.
Contact us about
Washington Auto,
Renters, Homeowners,
Boat, Motorcycle,
Earthquake, Flood, and
Condominium Insurance
at (509) 324-6311.
In addition to
Washington Boat
Insurance quotes, we
also offer affordable
Homeowners Insurance
policy quotes.
We are a Spokane, WA insurance agency offering affordable
Washington boat insurance quotes in the following towns, cities
and counties in Washington state: Opportunity, Millwood, Dishman,
Seven Mile, Veradale, Spokane Valley, Trentwood, Pasadena Park,
Glenrose, Country Homes, Greenacres, Newman Lake, Otis
Orchards, Airway Heights, Mead, Colbert, Buckeye, Chattaroy,
Milan, Deer Park, Elk, Clayton, Tumtum, Long Lake, Ford, Deep
Creek, Reardan, Four Lakes, Medical Lake, Espanola, Marshall,
Tyler, Cheney, Vallyford, Spangle, Plaza, Mica, Freeman, Manito,
Fairfield, Waverly, Rockford, Whitman County, Pend Oreille
County, Lincoln County, Stevens County, and Spokane County,
WA. We can also offer lower cost Washington boat insurance
policy quotes throughout the state of Washington.
Applicant Information:
Washington Boat
Insurance Terms
The Fletcher Agency
421 W. Hastings Road
Spokane, Washington 99218
Spokane County, WA
Office: (509) 324-6311
Fax: (509) 324-6340
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