Apply for Bluewater Cruising Insurance

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First Name *	Last Name *
Email Address *	Phone Number *
Address *
City *	State *
Postcode *	Country *
Name of current or prior insurer *	Due date for renewal *
Vessel details
Vessel is US flagged or US registered	Insured is a US national
List your navigational equipment *
I intend to obtain a survey report from a surveyor confirming the boat is fit for the intended blue water cruising/racing. (Please note that this may be a requirement if we are to offer insurance)
If yes, please advise when this will be available for us to consider
If this vessel has previously undertaken blue water cruising/racing, please advise brief details
Voyage details
State fully the countries or island groups you propose to sail to. If you have no set itinerary, please define the area in which you will sail by latitude and longitude. *
Departure date *	Departure place *
Return date *	Return place *
At any time during the proposed blue water cruising, will the numbers of people on board, whilst underway, be less than three? If so, please provide details, including watch keeping and emergency procedures *
Advise names and dates of birth for the skipper and all crew members *
Emergency equipment and safety precautions
Life raft make and capacity *	Qty of Flares, etc *
Emergency position indicating radio beacon make and operating frequency *
Other emergency equipment
List all safety precautions you will take while offshore *
List any publications you will consult for passage and landfall information *
Past Experience
I have sailed beyond 250NM off the Australian coast in the past
Give details of navigation in which the skipper is proficient, including all formal education relating to navigation and boat handling *
Skipper's sailing experience within Australian territorial waters *
Crew's sailing experience within Australian territorial waters *
Skipper's sailing experience overseas *
Crew's sailing experience overseas *
Additional comments and information *
Enter Word Verification in box below *