Insurance Claims

In the event of an accident

Click here for complete instructions on what to do in the event of an accident.

Claim Forms

These forms are available in MS Word and Adobe PDF formats. Adobe Acrobat Reader is freely available.

Marine Loss Notice

• Complete the Marine Loss Notice when reporting a new loss under the policy by an Insured Person under the contract or an insurance broker/agent. Be sure to complete fully.
  Download MS Word Format Download Adobe PDF Format

Owners/Operators Statement of Loss

• This form is to be used on all Boating Accident claims not involving theft. If theft, partial theft, or vandalism is the cause of the loss suffered, go to next form.
  Download MS Word Format Download Adobe PDF Format

Total Theft Affidavit/Partial Theft Affidavit

• The Total Theft Affidavit form is to be used if the Vessel, Trailer, or Dinghy is stolen.
  Download MS Word Format Download Adobe PDF Format
• The Partial Theft Affidavit is to be used if anything is stolen from the Vessel, Trailer, or Dinghy.
  Download MS Word Format Download Adobe PDF Format

Inventory Form

• Use the Inventory Form to carefully list the items stolen from you. It is very important to complete fully, and attach the documents to verify ownership of the items claimed. For example, include receipts for purchase.
  Download MS Word Format Download Adobe PDF Format

After you’ve completed the forms, do one of the following:

• Fax to Claims Department, 209-466-1252
• Email scanned documents to a.valencia@mcsadjusters.com
• Surface mail completed documents to:

  Westmar Claims Department
  4226 Coronado Avenue
  P.O. Box 208016
  Stockton, CA 95208
  (800) 633-8606