Insured's Name		Address
Date of Birth		Navigation Area
Summer/Winter Mooring		Lay-Up Dates
Year/Make/ModelLength/HP/Speed		Outboard Motor Only: Year/MFR/TOTAL HP/Twin or Single
Safety Equipment	GPS Automatic CO2 Burglar Alarm Radar	Hull Value
Trailer Value		Fishing Equipment Value
Outboard Motor Value		Deductible
Any Youthful Principal Operators	Yes	Three Years Boating Experience	Yes
Safety Course	Yes	Prior Losses	Yes
Telephone Number		Email Address