Float Plan_____________________________________
Owner: _______________________________________________
Address: ______________________________________________
City & State: ___________________________________________
Phone #: _______________ Alt. Phone #: _______________
Person Filing Report Relationship: __________________________
Name: _______________________________________________
Phone #: _______________ Alt. Phone #: _______________
Make Of Boat: _______________ Destination: _____________
Registration #: _______________ Departure Dock: _________
Length: _____________________ Departure Time: __________
Boat Name: _________________ Arrival Dock: ____________
Gel Color: __________________ Arrival Time: ____________
Trim Color: _________________ Fuel Level: ______________
Inboard/Outboard: ___________ Return Dock: ____________
Hull ID #: __________________ Return Time: ____________
Number Of Passengers: ________ Fuel In Reserve: __________
If Not Back By _____ o’clock on date _________, call Coast Guard
Safety Equipment Aboard (Check All That Apply):
Life Jacket VHF Radio
First Aid Kit Anchor
Flares Compass
Flashlight Food
EPIRB #: ________ Water
Other Information: _____________________________________
Name Of Person Aboard Age Address Phone#
_____________________________________________________
_____________________________________________________
INT-11
Introduction
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