Hull and Machinery Insurance Renewal Form
Vessel Details
Vessel Name
IMO Number
Type of Vessel
Flag
Year Built
Gross Tonnage (GT)
Deadweight (DWT)
Class Society
Ownership & Management
Owner's Name
Manager's Name
Owner/Manager Address
Insurance Details
Policy Number
Current Insurer
Period of Insurance
Sum Insured (USD)
Deductible (USD)
Coverage Required
Trading Area
Claims History
Claims in Last 3 Years
Additional Information
Remarks