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 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 Bauknight Insurance 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
Bauknight Insurance of
Spring Hill, FL and
Hudson, FL offers
affordable and
experienced personal
insurance coverage
services throughout
Florida.
Contact us about
Florida Auto, Renters,
Homeowners, Boat,
Motorcycle, RV, and
Flood Insurance at
either (352) 686-0612
or (727) 863-5641.
In addition to a Florida
Boat Insurance quote,
we also offer
affordable RV
Insurance policy
premium quotes.
We are a Florida based two-location insurance agency
offering affordable Florida boat insurance policy quotes in
the following cities and counties: Spring Hill, Hudson, New
Port Richey, Holiday, Brooksville, Aripeka, Bayonet Point,
Port Richey, Gulf Harbors, Elfers, Anclote, Tarpon Springs,
Palm Harbor, Land O' Lakes, Masaryktown, Garden Grove
Esates, Spring Lake, Weeki Wachee, Bayport, Brooksville,
Istachatta, Pineola, Nobleton, Bushnell, Sumterville, Center
Hill, Webster, Linden, Mascotte, Tarrytown, Ridge Manor,
Catherine, Trilby, Lacoochee, Dade City, Blanton, San
Antonio, St. Leo, Zephyrhills, Crystal Springs, Wesley
Chapel, Pasco, Darby, Odessa, Richland, Lumberton,
Homosassa Springs, Hernando County, Pinellas County,
Citrus County, Hillsborough County, and Pasco County, FL.
We can also offer Florida boat insurance quotes throughout
the sunshine state, including in Winter Haven, Lakeland,
Miami, Orlando, Tampa, St. Petersburg, Tallahassee, Ft.
Lauderdale, and Jacksonville, FL.
We can provide affordable Florida Boat Insurance
coverage quotes in west Florida and throughout Florida!
Applicant Information:
Florida Boat
Insurance Terms
Bauknight Insurance
10488 Spring Hill Drive
Spring Hill, Florida 34608
Hernando County FL
(352) 686-0612
Brooksville (352) 796-0007
Fax: (352) 686-2699

Bauknight Insurance
13041 U.S. Hwy 19
Hudson, Florida 34667
Pasco County FL
(727) 863-5641
New Port Richey (727) 862-3287
Holiday (727) 863-5642
Fax: (727) 863-0637

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