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Application for Professional Skipper's Liability Insurance

Important:
By paying this premium I am declaring I am aware of the Exclusive Brokerage Contract information required to be disclosed pursuant to § 11 VersVermV and § 1 VVG-InfoV as well as the content of the exclusive brokerage contract.
  • We are sorry but according to insurance problems we are not allowed to cover American or Canadian citizens.
  • If you are still a holder of a professional skipper liability insurance and want to pay your premium via PayPal, please use our online payment page.

We offer two options for completion:

Download Überweisungsträger Download the application , fill it out and return it to us:

Hamburger-Yachtversicherung
Schomacker Versicherungsmakler GmbH
Katharinenhof/Zippelhaus 2
20457 Hamburg
Germany


or

Sofortabschluss mit PayPal  Payment via PayPal account or credit card:

The annual premium including tax and insurance fee
is EUR 225.00.

The validity of insurance cover is conditional upon the skipper/ person in charge of the vessel being in possession of the boating license legally required both for the relevant vessel, the navigated area and the purpose of the voyage.

Information on the policyholder
 
Information on Skipper
<< please change if necessary
at midday
 
Payment
Bank account: Hamburger Sparkasse Kt.Nr.: 1042234169 (BLZ 200 505 50)
IBAN: DE71 20050550 1042234169 S.W.I.F.T.: HASP DE HH XXX
Coverage begins upon payment and acceptance of the application.
Handling Fee: Euro
Attention: The insurance agreement is automatically extended if it is not terminated one month prior to expiry of the agreement at the latest.
Right to cancel:
The customer is entitled to withdraw his contractual declaration in writing within two weeks without the requirement of stating any reasons. The cancellation period starts no earlier than the time that the information about this right is received. The cancellation period is met if the notification is dispatched within the specified time. The declaration of cancellation should be addressed to:
Hamburger-Yachtversicherung / Schomacker Versicherungsmakler GmbH
Katharinenhof/Zippelhaus 2 / D- 20457 Hamburg