Add An Aircraft

PLEASE NOTE:
Any changes requested on this website are NOT official until you receive written confirmation from The Hoxton Agency, Inc.

*(denotes required field)

REQUESTER INFORMATION

Name of person making request*

Email of person making request*

Phone of person making request*

Named Insured*

Policy Number*

Date aircraft would be added*

Aircraft Registration Number*

Aircraft Year*

Aircraft Make*

Aircraft Model*

Number of Seats in the Aircraft*

Base Airport Identifier*

Base Airport City*

Base Airport State*

Insured Value*

Liability Limits Desired*

Number of Pilots to Fly Aircraft*

Are these pilots named on your policy now?*

Yes No

*If the above answer is "no", please complete a Pilot History Form for every pilot you wish to have fly the aircraft.

Pilot Name

Pilot Make & Model Time

Notes