Full Name:            
Mailing Address:
City:
Florida
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)

Florida 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

Florida 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 Florida Boat insurance quote request.**


**Information received from this Florida Boat Insurance quote request form sent to Optimal Insurance Group 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 Florida 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 Florida Boat Insurance policy. We are licensed in Florida and will not provide boat insurance quotes for other states.


Florida Boat
Insurance Quote
We can provide low cost Florida Boat Insurance
coverage in the Palm Beach County, Florida area!
Optimal Insurance Group
of Boca Raton, FL offers
affordable and experienced
personal insurance
coverage services
throughout south Florida.
Contact us about Florida
Health, Auto, Renters,
Homeowners, Boat,
Motorcycle, RV, and
Flood Insurance at (561)
342-1695.
In addition to low cost
Florida Boat Insurance
quotes, we also offer
affordable Homeowners
Insurance policy premium
quotes.
We are an independent Boca Raton, Florida insurance agency offering
less expensive boat insurance quotes in the following towns, cities and
counties in south Florida: Boynton Beach, Gulf Stream, Delray Beach,
Lantana, Rainbow Lakes, Atlantis, Lake Worth, South Palm Beach, Palm
Springs, Greenacres, Wellington, Haverhill, Palm Beach, Golden Lakes,
Riviera Beach, Glen Ridge, West Palm Beach, Lake Park, Royal Palm
Beach, Jupiter, Coral Springs, Fort Lauderdale, Parkland, Coconut Creek,
Margate, North Lauderdale, Lighthouse Point, Hillsboro Beach, Deerfield
Beach, The Hamptons, Highland Beach, Weston, Plantation, Playland
Isles, Melrose Park, Lauderhill, Sunrise, Tamarac, Wilton Manors,
Oakland Park, Lauderdale Lakes, Sea Ranch Lakes, Villages of Oriole,
Pompano Beach, Lauderdale-by-the-Sea, Boca West, Boca Pointe, Juno
Beach, North Palm Beach, Loxahatchee, Belle Glade, Palm Beach
Shores, South Miami, Cutler Ridge, Princeton, Perrine, Naranja,
Homestead, Florida City, Leisure City, Richmond Heights, Pinecrest,
Howard, Coral Way Village, Westchester, Westwood Lakes, Brownsville,
Sweetwater, Key Biscayne, North Bay Village, Miami Beach, Miami
Springs, Virginia Gardens, Hialeah, El Portal, Miami Shores, Medley,
Indian Creek, Surfside, Bal Harbour, North Miami, Biscayne Park,
Pinewood Park, Opa Locka, Bunche Park, Hialeah Gardens, Palm
Springs North, Carol City, Norland, Ojus, Miami Lakes, Biscayne
Gardens, Hallandale, Sunny Isles Beach, Golden Beach, Aventura, Uleta,
Miramar, Pembroke Pines, North Miami Beach, Hallandale Beach, Ives
Estates, Pembroke Park, Coral Gables, Kendall, Dania Beach, Cooper
City, Davie, West Miami, Hollywood, Broward County, Martin County,
Miami-Dade County, and Palm Beach County, FL. We can also offer
affordable Florida boat insurance policy quotes throughout the Sunshine
state, including in Winter Haven, Lakeland, Miami, Orlando, Tampa, St.
Petersburg, Tallahassee, and Jacksonville, FL.
Applicant Information:
Florida Boat
Insurance Terms
Your Florida Boat
Insurance Quote Source
Optimal Insurance Group
4800 North Federal Hwy
Suite D-100
Boca Raton, Florida 33431
Palm Beach County FL
(561) 342-1695
Fax: 866-314-4026
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