01424 718800 - Narrowboat/Yacht/Motorboat

01702 710041 - Dinghy/Sailboard/Small Powercraft

Proposal Form

Fields with * are mandatory, if any are not applicable please enter N/A or 0

Your Details

Owner's Full Name:*

If under 18 name of parent or guardian must be entered here with minor noted as an additional owner

Date of Birth:* (dd/mm/yyyy)
Exact occupation and nature of business:*
Telephone Number:*
Email Address:
Club or place stored if other than home:*
Country of Residence:*
Are there any additional owners of the craft?*
If so, please give full names, date of birth, address & occupation*


Board 1 (Please complete each section for cover to be operative)

Make, Model & Length:* Makers board number:* Purchase Date:*(dd/mm/yyyy) Purchase Price:* Year Made:*

Board 2 (Please complete each section for cover to be operative)

Make, Model & Length: Makers board number: Purchase Date:(dd/mm/yyyy) Purchase Price: Year Made:

Have you or any person likely to use the craft:

Made any claim or had any accidents with any craft owned or used by you/them in the past 5 years?
Had any insurance for craft declined, refused, cancelled or charged at a higher rate?
Been charged or convicted of any crime or dishonest act including theft or fraud?
Derive any income from sailing/boating or sponsorship or are likely to in the future?
Do any exclusions on policy apply to your intended use or ownership?


Note - the Sum(s) requested should be New Cost Price for craft and equipment up to one year old, current market value thereafter.

Please enter '0' into any boxes not being completed.

Please select the type of insurance:

Note extensions below are not available with third party only cover
1st Board *
including spars/sails/foils:
Current Market Value

2nd Board *
including spars/sails/foils:
Current Market Value

Additional Cover Extensions:

Road Trailer/ Combi

£2 per each £100 value. Warranted trailer itself wheel clamp locked unless stored in locked building, and ID marked.

Current Market Value

Launching Trolley
£2 per each £100 value. Warranted trolley id marked.
Current Market Value

Personal Effects
£4 up to £150 maximum sum. Clothing, waterproofs, wetsuits & buoyancy aids etc. Excluding cash, mobiles or other electrical items or fishing gear. *for higher sums contact your household insurer.

Legal Protection
£1.00. Provides Legal & Associated fees up to £25,000 to enable assured to pursue uninsured & injury claims against others following boat accidents as per separate policy wording.

Total Premium

Have you recently or are you presently insured with Newton Crum?*


Please read the following before submitting this form.

CONFIRMATION - Note that in submitting this proposal you agree that we collect your personal data as detailed in our Privacy Policy you have read and that you are the owner/joint owner of the craft.  That you have checked the specimen policy and comply fully with all terms, conditions and exclusions and that all information & answers are true, correct & complete with no requested information known to you withheld or misstated & that this form creates the basis for assessment, quotation, insuring by the Underwriters applicable in accordance with the Consumer Insurance (Disclosure & Representations) Act 2012. It is understood, however, that submitting this form does not commit me to acceptance of any quotation.

Even though the premium may have been paid, the contract is not activated until the proposal is accepted & policy issued by Newton Crum Insurance Agents Ltd.

I confirm the above and wish to start the cover from (cannot be backdated):*

Please contact us on 01702 710041 to discuss your Insurance Proposal before completing this form.

Welcome to Newton Crum - the other people for boat insurance