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Vessel Specifications Form

Please complete this form and click the Submit button.

*Name   
*Address 
*City    
*State   * Zip
Title 
Business Phone 
Mobil Phone 
*Email 

General Vessel Information

Vessel Name 
Vessel Owner
Home Port 
Documentation # 
State Registration # 
Insurance Information   Hull  P&I
Coverage Limit
Length Overall     Beam     Draft
Tonnage    HP    
Safety Equipment  #Survival Suits    #Life Rafts   
Emergency Radio    Fire Fighting 
Other Safety Equipment   
Is vessel owner operated?     
Operator credentials and experience   
Organizational affiliations   
Coast Guard safety sticker   
Fishing Rigs   
Steaming Speed   
Electrical source and KW   
Vessel Accomodations

Days capable of staying at sea  
Number of births 
Normal crew

Vessel Permits and Licenses
State permits/licenses:

  
Federal permits/licenses   
Restrictions/limitations   
Prior violations, if any   

Vessel Electronics ( include brands)
GPS?

Sounder?   
Electronic Charting?   
Other electonics   
 

 

 

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