Natloans Insurance Questionnaire Thank you for taking the time to fill out this Insurance Quote questionnaire. By filling out this form Natloans will be able to get you an accurate insurance quote that will meet your needs. Asset Details Please enter the details of the asset that you are looking to insure... Asset TypePlease select... Car Bike Boat Asset Address Where is the asset usually located Please select... Carport Parked off street in driveway Garage Parked on streetWhere vehicle is usually kept overnight How is the boat stored?Please select... Beached Dry Stacked Hard Stand Jetty Moored On Trailer On Trailer Private Residence Slip way Other Street Address of Asset City State Postal Code Country Boat TypePlease select... Runabout Trailerable Powerboat Jet Ski Personal Water Craft Cruiser Off beach dinghy Multi Hull Asset Make Asset Model Year of Manufacture Variant Transmission TypePlease select... Auto Manual Max SpeedPlease select... 20 knots Up to 60 knots Over 60 knots Length of Boat Power/ConstructionPlease select... No motor/fibreglass Jet motor/fibreglass Outboard/fibreglass Sterndrive/fibreglass Not listed / other Please provide the details of the power / construction Engine Size Fuel TypePlease select... Diesel Electric Gas Petrol Body Type Number of cylinders Are there any aftermarket modifications or accessories?Please select... Yes No Do you have a tracking device and/or immobiliser fitted?Please select... No Tracking Device Immobiliser Both Please describe the aftermarket modifications and/or accessories FWD, RWD or AWDPlease select... FWD RWD AWD Registration Number Registration TypePlease select... Recreational Registration Full Registration How is the asset primarily used? Please select... Private Business Who is your most current insurer? Monthly Insurance Amount Annual Insurance Amount What was the purchase price of the boat? (including motor, trailer & accessories) Driver Details Please enter the details of the primary driver and add any additional drivers that you require to be listed on the policy... List on policy?Please select... Yes No First Name Last Name GenderPlease select... Male Female DOB Phone Email How many consecutive years has the driver held a motorcycle licence? Which licence have you held the longest?Please select... Car Bike Has the rider completed accredited riding course?Please select... Yes No Number of at fault accidents and/or insurance claims in the past 5 years?Please select... None 1 2 3 4 5 6 7 8 9+ Occurrence & approximate date of incidence(s) Make sure you add all of the drivers that need to be listed on this insurance policy ^ Finance and Specific Asset Questions Current Finance Is the asset financed?Please select... Yes No Type of financePlease select... Secured Loan Lease Secured Loan Secured Loan Lender Insurance Premium For your quote what excess do you want on your insurance?Please select... $600 $700 $800 $1000 $1200 $1500 Frequency of premium payment? Please select... Monthly Annually Additional Questions - Boat Would you like to select lay up cover for the months when your boat is out of use to receive a discount? Provide months when boat is not used Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Would you like water skiers liability cover?Please select... Yes No Additional Questions - Car How many kilometres do you drive on average per year?Please select... Less than 5,000 Up to 10,000 Up to 15,000 Up to 20,000 More than 20,000 Do you have two or more of the following Suncorp or Allianz Policies? Boat or motor homeCarCar trailerCaravanContentsHome (Building)LandlordMotorcycleQLD CTPSelect all that apply Would you like to add any of the following:Roadside AssistanceWindscreen & window glass coverHire car after an event up to 14 daysUpgrade to Comprehensive Advantages (Windscreen and glass cover and hire car after an event for unlimited days) Thank you for taking the time to fill out this Insurance Quote Questionnaire. Please click submit and one of our Consultants will be in touch shortly. You can call Natloans during business hours on 1300 955 791