Maritime Museum Supplemental Application

Please fill out the form below and hit the submit at the bottom of the page.

To download a printable version of the application, click here

Maritime Museum Information
Use line breaks to separate addresses.
Operations & Security Details
5. Building protection details
6. Construction of building(s)
Limits of Insurance
$
$
$
$
$
$
$
$
$
11. Insured’s Inventory Breakdown
%
%
%
%
%

ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE CONTAINING ANY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING, ANY INFORMATION CONCERNING ANY FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME.