The Joseph S. Hills Agency, Inc.

On-Line Applications                   Privacy Notice  

Office Location:
     129 Main Street
     PO Box 300
     Plaistow, NH 03865-0300

 Telephone #:
     603-382-9211 or 
     800-295-9211
FAX #: 603-382-3387

 

 

 

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WATERCRAFT INSURANCE

Boat Insurance

Are you properly covered for your Sailboat,
Pleasure Boat, Personal Watercraft or Canoe?

     Today, you need a watercraft policy with an Agency that is dependable and knowledgeable to meet all your insurance needs. We can provide: (1) the answers to your questions regarding coverage's (2) fast courteous claims service (3) free comparison quotes.  

We offer discounts for:

  • U.S. Coast Guard Navigation Course

  • U.S. Power Squadron Safety Courses

  • Navigational Equipment

    • VHF or Radiophone

    • Depth Finder

    • Vapor Detector

    • Radar, Loran or GPS

    • Built-in Fire Extinguisher System

NO OBLIGATION COMPARISON QUOTE- Only complete this form if you are a resident of the state of New Hampshire.   After submitting the requested information, the Hills Insurance Agency will calculate the quote for you.

All information will be kept completely confidential and will be used only for quote purposes.

HOWEVER, NO COVERAGE IS BOUND AND THE QUOTE MAY BE SUBJECT TO OTHER UNDERWRITING CRITERIA.

All Items indicated with a * are required to provide an accurate quote.

Personal Information 

Owner's Name:  *
Owner's Mailing Address:  *
City:  *  State  *   Zip    
Home Phone #: * 
Business Phone #:  Best time to call *
E-mail address: 

Current Insurance Company:(enter none, if no insurance currently)
Expiration date:    Premium: $ Term:

Boat Information   *      Watercraft type
1st Boat    Total Purchase price for boat, motor, equipment & trailer $
    Year    Make    Model      Length 
     Date purchased    Purchase price $   Current value $
     Where is the boat moored?   State   Use
     Waters Navigated   Winter storage location 
Motor  *
    Year   Make    Type   Gas     Diesel
    CC's/HP   Maximum speed   Purchase price $  Current value$
2nd Boat/Tender Watercraft type
   Total Purchase price for boat, motor, equipment & trailer $
    Year    Make    Model      Length 
     Date purchased    Purchase price $   Current value $
     Where is the boat moored?   State   Use
     Waters Navigated   Winter storage location 
Motor
    Year     Make   Type   Gas     Diesel
     CC's/HP   Maximum speed   Purchase price $  Current value $
 Trailer
       Year    Make   Model   
       Purchase price $  Current value $

Equipment List   - click all that apply

VHF radio    Depth finder Approved safety course Radar or GPS or Loran Halon System

Hand held Fire Extinguishers   # of extinguishers   Alarm System

Driver Information
    

  First Driver Second Driver
Name:  *
Occupation:
Date of Birth:  *
Marital Status:  *
Years Boating Experience:  *
Accidents/Violations (auto/boat): *
Other claims or losses  *
How would you like to be contacted? *   If other, please specify
Miscellaneous information or comments  
for a quote                      to clear form and start over

When completed, click on Submit Form ONE time and we will forward your quote to you in the form you have requested.  If you have any questions, please feel free to contact us at 603-382-9211 or 800-295-9211