Member Information (* is required)

Member name *

Your name *

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Choose one *

Addition to policy
Deletion from policy

Watercraft 1 Information

Year *

Make *

Model *

Length *

Serial # *

Value *

Department *

Primary Location *

Description *

Add Additional Watercraft Policy Changes?

Yes
No

Add/delete additional drone(s)

Additional Watercraft How many watercraft would you like to add/delete?

0 1 2 3 4 5

Watercraft 2

Policy Type Watercraft 2 *

Addition to policy
Deletion from policy

Year Watercraft 2 *

Make Watercraft 2 *

Model Watercraft 2 *

Length Watercraft 2 *

Serial # Watercraft 2 *

Value Watercraft 2 *

Department Watercraft 2 *

Primary Location Watercraft 2 *

Watercraft 2 Description

Description Watercraft 2 *

Watercraft 3

Policy Type Watercraft 3 *

Addition to policy
Deletion from policy

Year Watercraft 3 *

Make Watercraft 3 *

Model Watercraft 3 *

Length Watercraft 3 *

Serial # Watercraft 3 *

Value Watercraft 3 *

Department Watercraft 3 *

Primary Location Watercraft 3 *

Watercraft 3 Description

Description Watercraft 3 *

Watercraft 4

Policy Type Watercraft 4 *

Addition to policy
Deletion from policy

Year Watercraft 4 *

Make Watercraft 4 *

Model Watercraft 4 *

Length Watercraft 4 *

Serial # Watercraft 4 *

Value Drone 4 *

Department Watercraft 4 *

Primary Location Watercraft 4 *

Watercraft 4 Description

Description Watercraft 4 *

Additional notes use for extra details, special requests, or if a specific effective date is desired:

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