Insurance Information Consent Form

Consent to Release Information

Fill out this form if you are already a GPLink subscriber and would like to give GPLink permission to share your vessel data with your insurance company.
  • Consent to Release Information

    I hereby authorize GPLink, LLC to provide information related to my use of GPLink services to the "Insurer" that I listed above.

    I understand that the information GPLink, LLC will provide to Insurer may include any data about my use of GPLink services that Insurer deems reasonably necessary in order to provide me with insurance coverage. This information may reflect engine diagnostics and critical system function (both mechanical systems and vessels systems), such as battery levels, bilge levels, tank levels, power interruptions, fire alarms, engine RPMs, oil pressure, coolant temperature, and fuel consumption. It also may include information about my vessel’s geographic location. I understand that Insurer may use this information for any reasonable business purpose, including underwriting and claims handling.

    I understand that this authorization is voluntary. I also understand that I am not eligible for any insurance discount or enhancement of coverage unless I sign this consent to release information. I have the right to revoke it at any time by sending written notification to GPLink LLC, I understand that revoking my consent may impact my insurance coverage and rates. If this consent is revoked, I understand that GPLink may rely on my consent prior to any revocation and that any information released prior to the revocation would not be considered a breach of confidentiality. I also understand that any information received by my insurer prior to revocation can be used by the insurer.

    I further understand that if, at any time, I cease to be a customer of any insurer to which I authorized GPLink, LLC to disclose information, I must promptly provide written notice to GPLink, LLC.