Insurance Application Forms

The following forms provide a fast and convenient way to apply for marine insurance. The files are in the popular Microsoft Word, Microsoft Excel, and Adobe Acrobat Reader (pdf) format. They can be downloaded and opened using Word, Excel, or Acrobat on a PC or Mac.

After you've filled out the Word or Excel form, attach it as an enclosure to an e-mail message using your favorite e-mail application and send to "info@aquapac.com". If you know the agent you are working with, send it to the agent's e-mail address. Acrobat forms should be printed, filled out, and mailed to Western Marine Insurance Services (see address at the bottom of this web page). If you have any questions, call us at 800-633-3443.

Description		Pages	Document Number
Document Index
	Index	1	100
Boat/Yacht Department
	AquaPac Millennium Boat/Yacht Application	1	101
	Markel Personal Watercraft Application	3	102
	Personal Watercraft Application (NV, AZ, ID, UT) (Contact the office for Washington)	3	104
	Western Marine - Personal Watercraft Insurance Application	3	105
	AquaPac Millennium Watercraft Self-Inspection Form	1	106
Commercial Package Department
	AquaPac Millennium Commercial Supplement Application	8	201
	Markel Rental Program Application	9	202
	Commercial Auto Information	2	204
	Workers’ Comp Marine Supplement	1	206
Miscellaneous
	Broker's Agreement	1	401
	SL 1 Form	1	403
	SL 2 Form (Diligent Search Report)	2	404

Westmar also provides a fax-on-demand service, where we can fax you business forms that you may need.


Western Marine Insurance Services
4226 Coronado Avenue
Stockton, CA 95204
209/466-1413
800/633-3443
FAX 209/466-0260