Get Chubb Ma-28741 2017-2025

The Chubb MA-28741 form is essential for applying for marine insurance coverage. This guide provides detailed, step-by-step instructions for completing the form online, ensuring you accurately fill out each section and field.

Follow the steps to complete the Chubb MA-28741 online

1. Press the ‘Get Form’ button to access the Chubb MA-28741 document and open it in your preferred application or browser.
2. Begin by selecting the type of coverage you are requesting at the top of the form. Choose between Masterpiece Boat or Masterpiece Yacht options as appropriate.
3. Enter the contract ID in the designated space, followed by the policy name as it should be issued.
4. Provide the name of the beneficial owner or any additional owners, if different, along with their respective residence address, city, state, zip code, and country.
5. Fill in the primary owner’s social security number, email address, and phone number. Also, indicate whether they own their residence and provide their occupation.
6. Answer the questions regarding the USCG license of the primary operator and whether there is a paid captain. Attach necessary copies if applicable.
7. Provide details on the number of paid crew members and any previously owned vessels, including their length and make.
8. Indicate if the primary owner currently has insurance for the vessel and note any past insurance issues, including cancellations or claims.
9. Fill in the vessel and equipment information, specifying year built, length, builder, model name, purchase price, and hull ID number.
10. Detail the navigation waters and any lay-up periods if applicable, providing berth or mooring information for both seasons.
11. Check all applicable conditions about the vessel's use, including if it has been raced or lived aboard, and provide insurance coverage requested details.
12. Complete the loss payee and additional insured information sections, ensuring that all addresses and names are accurate and complete.
13. Review the acknowledgments section regarding credit reports and fraud statements, then ensure you provide your signature and date at the end of the form.
14. Once you have filled out all the sections and fields, save your changes and choose to download, print, or share the completed form as needed.

Take action now and complete your Chubb MA-28741 document online.