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Haggerty Classic Marine Insurance Agency P.O. Box 87, Traverse City, MI 49685 PHONE 800.762.2628 FAX 231.933.1581 WWW.HAGERTYMARINE.COM MARINE HAGERTY.COM Haggerty marine medical statement Insureds

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How to fill out hagerty marine medical statement

Who needs Hagerty Marine Medical statement?

Anyone applying for marine insurance with Hagerty may need to complete their Marine Medical Statement. This includes boat owners, sailors, marine enthusiasts, and other individuals involved in water-based activities.

How to fill out Hagerty Marine Medical statement:

01

Start by gathering all the required information. You will need personal details such as your name, address, date of birth, and contact information. Additionally, you will need to provide information about your boating experience, including how long you have been boating and the type of boats you have owned or operated.

02

Next, it is important to disclose any relevant medical history. This includes any pre-existing conditions, surgeries, or ongoing treatments. Be transparent and provide accurate information to ensure the insurance policy accurately reflects your current health status.

03

The Hagerty Marine Medical statement may also require you to provide information about any previous boating accidents or incidents. If you have been involved in any accidents or claims in the past, it is important to disclose this information.

04

Fill out the section that pertains to your current medications. List all medications you are currently taking, including dosage and frequency. If you have any allergies, make sure to include them as well.

05

Finally, review the completed form for accuracy and sign it. By signing the form, you are attesting that all the information provided is true and accurate to the best of your knowledge. Keep a copy of the completed form for your records.

Remember, the Hagerty Marine Medical statement is a crucial document for securing marine insurance coverage. Provide accurate and comprehensive information to ensure that you receive appropriate coverage tailored to your needs.

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What is hagerty marine medical statement?

Hagerty marine medical statement is a form that must be completed by individuals working in the marine industry to declare their medical fitness.

Who is required to file hagerty marine medical statement?

Individuals working in the marine industry, such as sailors, captains, and crew members, are required to file Hagerty marine medical statement.

How to fill out hagerty marine medical statement?

Hagerty marine medical statement can be filled out by providing personal information, medical history, and declaring any medical conditions.

What is the purpose of hagerty marine medical statement?

The purpose of Hagerty marine medical statement is to ensure that individuals working in the marine industry are medically fit to perform their duties safely.

What information must be reported on hagerty marine medical statement?

Information such as personal details, medical history, current medical conditions, and any medications being taken must be reported on Hagerty marine medical statement.

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