Insurance Information

Here you can get the latest insurance information from MLA Fishermen Services Corp.

 Hull Insurance Application with checklistRequest for change formAlternate CaptainCertificate to FerryApplication for CharterClaim FormCoverage ChangeRequest to Extend Beyond Policy limits

COVERAGE CHANGE

All statements that are submitted must be truthful information. As insurers we rely on the truthfulness of applications when determining coverage. Coverage is not bound until the submission has been reviewed and approved by the underwriter.

"*" indicates required fields

MM slash DD slash YYYY
Consent*

HULL COVERAGE

PORT

P & I COVERAGE

SIMG (Bank required Single Interest Coverage)

NAMED ADDITIONAL INSURED

LIENHOLDERS

PRIMARY FISHERY

ALTERNATE FISHERY

CHARTERING

If yes, please reapply*
You are required to resubmit your application for chartering every year. If you fail to do so, you do not have this coverage. Please contact the office if you wish to reapply.

APPROVED ALTERNATE CAPTAIN(S)

ENDORSEMENTS

Select all that apply*

CREW COVERAGE

Please add crew coverage*
*If you do NOT want crew coverage, sign and date down below
MM slash DD slash YYYY

RENEW WITH CHANGES

Consent*
MM slash DD slash YYYY
IF YOU ARE NOT MAKING ANY CHANGES, YOUR CURRENT POLICY(IES) WILL RENEW "AS IS". IF, DURING THE POLICY YEAR, YOU WANT TO MAKE CHANGES, YOU MUST DO SO IN WRITING AND THE CHANGE MUST BE FORMALLY APPROVED BEFORE IT TAKES EFFECT.
This field is for validation purposes and should be left unchanged.