Type of Aircraft:
Days:
Special Annual Policy:
Use of Aircraft:

Type of Aircraft

Specify if the aircraft is over or under 13,000 pounds, or if it's a helicopter (consider empty weight).

Days

Specify the number of days for the policy.

Special Annual Policy

If you travel frequently into Mexico using the same aircraft, consider to obtain this policy. Note that this policy can not be cancelled and is fully earned once it has been issue.

Use of Aircraft

Specify if it's Private, Commercial, Cargo or Other.


* Mandatory fields

*Year:
*Make:
*Model:
*Reg. No.:
*Serial No.:
*Engine Make:
*Pax:
*Crew:
*Weight:
Optional Aircraft Information
HP:
No. Engines:
US Pol. No.:
Registered Owner:

Year

Provide the year the aircraft was manufactured.

Make

The aircraft manufacturer or its one-to-two letter abbreviation for the manufacturer.

Model

The complete model designator listed on the aircraft data plate.

Reg. No.

N-Numbers consist of a series of alphanumeric characters. U.S. registration numbers may not exceed five characters in addition to the standard U.S. registration prefix letter N. These characters may be:

  • one to five numbers (N12345)
  • one to four numbers and one suffix letter (N1234Z)
  • one to three numbers and two suffix letters (N123AZ)

If the aircraft is not registered in the U.S., enter the country register number.

To avoid confusion with the numbers one and zero, the letters I and O may not be used.

Serial No.

The unique number assigned by the manufacturer/builder.

Engine Make

Engine make or type installed on the aircraft, or abbreviation for the engine manufacturer (Lycoming, Continental, Garrett etc.).

Pax

Specify number of seats of the aircraft. Enter only the total passenger seats.

Crew

Specify number of seats of the crew.

Weight

The maximum authorized weight of the aircraft and all of its equipment.

HP

Insert horsepower or thrust of aircraft.

No. Engines

Specify the number of engines of the aircraft, single, twin or more engines.

US Pol. No.

Insert your current policy number and the name of the Insurance Carrier.

Registered Owner

Specify the name of the registered owner. The registered owner will also be listed as an additional insured.

Name registered owner as an additional insured.

Let us know if in addition of the Insured you will like to have the registered owner as an additional insured.


* Mandatory fields

*Name:
*License:
*Date of Birth:
*Name:
*License:
*Date of Birth:

Name

Provide the Name of the Pilot as it appears on his/her license.

License

Provide us with the Pilot license number, that has been issue by a legal authority.

Name

Provide the Name of the Pilot as it appears on his/her license.

License

Provide us with the Pilot license number, that has been issue by a legal authority.

Date of Birth

DOB of the pilot (month, day, year).

Date of Birth

DOB of the pilot (month, day, year).

Date of Birth

DOB of the pilot (month, day, year).

Date of Birth

DOB of the pilot (month, day, year).

Date of Birth

DOB of the pilot (month, day, year).

Date of Birth

DOB of the pilot (month, day, year).



TWO IS THE MAXIMUM NUMBER OF PILOTS THAT CAN BE LISTED ON THE POLICY.

* Mandatory fields

Person Type:
*License or Passport No.:
*First Name:
*Last Name:
 
*Country:
*State:
*State:
*City:
*Street Address:
*Zip Code:
*Phone:
*E-mail:
Work phone:
Cell phone:

Person Type

Select the type of person that will receive the insurance.

License or Passport No.

Provide your license or passport number. This information is required by Mexican Legislation.

First Name

Provide your first or middle name. This information will appear in your policy.

Last Name

Provide your last name. This information will appear in your policy. Enter your name as it appears on your Driver License.

Street Address

Provide the street address where you live.

City

Provide the city where you live.

State

Provide the state where you live.

State

Provide the state where you live.

Country

Provide the country where you live.

Zip Code

Provide the zip code from where you live.

Phone

Provide your telephone number, include country and state code if your telephone is registerd outside of the U.S.

Work phone

Provide your office telephone number, include country and state code if your telephone is registered outside of the U.S.

Cell phone

Provide your cell phone number, include country and state code if your telephone is registered outside of the U.S.

E-mail

Provide your e-mail address.

Please make sure that you enter a correct and valid email, once you finish the online process you will receive a copy of your policy to your email.


Please make sure that you enter a correct and valid email, once you finish the online process you will receive a copy of your policy to your email.
General Data
Type of Aircraft:
Days:
Use of Aircraft:
Pilot Information
Name:
License:
Date of Birth: //

Cost Information

Aircraft Information
Year:
Make:
Model:
Reg. No.:
Serial No.:
Engine Make:
Pax:
Crew:
Weight:
HP:
No. Engines:
US Pol. No.:
Registered Owner:
Insured Information
License or Passport No.:
Name:
Last Name:
Street Address:
City:
State:
State:
Zip Code:
Phone:
Work phone:
Cell phone:
E-mail:
Your policy is for {0} days. Select a starting date in order to continue.:

Dates on policies less than a year cannot be changed once purchased. Please note that you are able to purchase coverage the same day your trip is scheduled in order to avoid errors.