Float Plan
44
Survival Equipment
Marine Radio (Yes/No) Type Frequencies
Number of PFDs Flares (Yes/No) Mirror (yes or no)
Smoke Signals (Yes/No) Flashlight (Yes/No) Food (Yes/No)
Water (Yes/No) Anchor (Yes/No) Raft/Dinghy (Yes/No)
Paddles (Yes/No) EPIRB (Yes/No) Other
Other Other Other
Vehicle Description
Make Model
Color License Number
Where is the Vehicle Parked?
Trip Expectations
Departing From
Departure Date Departure Time
Stopover 1
Arrive No Later Than: Date Arrive No Later Than: Time
Stopover 2
Arrive No Later Than: Date Arrive No Later Than: Time
Stopover 2
Arrive No Later Than: Date Arrive No Later Than: Time
Stopover 2
Arrive No Later Than: Date Arrive No Later Than: Time
Stopover 2
Arrive No Later Than: Date Arrive No Later Than: Time
Stopover 2
Arrive No Later Than: Date Arrive No Later Than: Time
Final Destination Port (If Different Than Home Port)
Arrive No Later Than: Date Arrive No Later Than: Time
If not returned by the date and time listed above, call
the Coast Guard or other local authority.
Coast Guard Phone Number
Local Authority Phone Number
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