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Charter Self Survey

Charter Self SurveyEric Fisher2025-03-25T12:50:44-04:00
Name(Required)
MM slash DD slash YYYY

Hull Condition

Any visible cracks or damage in the hull?(Required)
Any soft spots or signs of rot in the deck?(Required)
Any visible damage or signs of weakness in the transom?(Required)
Are aware of any prior losses or a salvage title on this vessel?(Required)

Engine Information

Do all engines run without excessive vibration?(Required)
Are all engines, machinery, & surrounding area free of oil and fuel residue?(Required)
Number of Engines(Required)
Engine Type(Required)
Fuel Type(Required)
Does your vessel have a trailer?(Required)

Trailer Information

Any wear or damage to bunks or rollers?(Required)
Any visible rust or damage?(Required)
Is the winch operational and in good condition?(Required)
Any visible damage or wear on tires?(Required)

Electrical Information

Are all batteries secured and terminals covered?(Required)
Are all navigation lights operational?(Required)
Are all circuits protected by operational circuit breakers and/or fuses?(Required)

Safety Equipment

Number of portable fire extinguishers on board?(Required)
Are all extinguishers in servicable condition?(Required)
Less than 12 years old, needle is in the green, tag is in place, and discharge is free of debris.
Is there an automatic fire extinguishing system on board?(Required)
MM slash DD slash YYYY
Are all flares and signaling devices in good condition and not expired?(Required)
Do you have sufficient Type 1 life jackets on board for all guests and are all in good working conidtion?(Required)

Charter Information

Type of trips, length of trips, etc.
What waters are navigated?(Required)
Are any charters taken overnight?(Required)
Will any food/alcohol be sold or served on board?(Required)
Are there any off boat activities such as swimming/snorkel/diving?(Required)
Does your vessel have a USCG vessel inspection certificate with passenger rating?(Required)
What portion of your total income is provided from charter activity?(Required)

Upload Documentation

Please upload photos of all 4 sides of your boat, including a photo of the engine. These can be a total of 2 photos (1 of the starboard/bow, and one of the port/stern). Please also upload a copy of your captains license.
Drop files here or
Max. file size: 12 MB.
    Consent(Required)
    I attest that the information provided in this self-survey document is true and correct to the best of my knowledge. I understand that this information will be used to underwrite my boat insurance policy and that any misrepresentation, omission, or false statement may result in the denial of a claim, cancellation of my policy, or other penalties as permitted by law.

    I acknowledge that it is my responsibility to comply with all required safety regulations and that the best way to ensure compliance is through a United States Coast Guard (USCG) safety check. Furthermore, I understand that this document is not a substitute for a professional marine survey and that certain situations may still require an inspection by a qualified marine surveyor.
    Clear Signature

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    DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details regarding terms, conditions, coverages, exclusions, products, services and programs which may be available to you. Your eligibility for particular products and services is subject to the final determination of underwriting qualifications and acceptance by the insurance underwriting company providing such products or services.

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    Watercraft Information

    Does it have whipple or superchargers?*
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    Purchase Date*
    Do this boat have a trailer?*
    Have you had a survey on your watercraft in the past 3 years?
    A SURVEY WILL BE REQUIRED. Liability only policies will need an In Water Survey. To include Hull Coverage, an Out of Water Survey will be required. To find a local survey visit the Society of Accredited Marine Surveyors.

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