Tenant Name

Address

Phone Number

Email

What are you storing

Vehicle is Tenant Registered

Owner

If different from the tenant.

Type of Vehicle

Make of Vehicle – Watercraft – Trailer

Model of Vehicle – Watercraft – Trailer

Color of Vehicle – Watercraft – Trailer

Vehicle Length (Including Motor, Swim, Platform, etc., trailer, tongue, etc.)

Vehicle Width (Including Fenders, Wheels, Etc.)

Vehicle Year

Vehicle Title Number (Optional)

Vehicle License Plate No.

Vehicle License State

Vehicle License Plate Expiration

VIN or HULL ID#

Coverage Provider

Coverage Policy #

Coverage Expiration Date

Upload Drivers License

Maximum file size: 10 MB.

Upload Proof of Insurance

Maximum file size: 10 MB.

Upload Picture of Vehicle

Maximum file size: 10 MB.