INT-12
Owner: Safety Equipment Aboard:
Address: Life Jackets
City & State: First Aid Kit
Telephone#: Flares
Cell Phone#: Flashlight
VHF Radio
Person Filing Report: Anchor
Name: Compass
Home Telephone#: Food
Cell Phone #: Water
Make Of Boat: Destination:
Registration#: Leave From:
Length: Time Left:
Boat Name: Going To:
Gel Color: Fuel Level: 1/4, 1/2, 3/4, F
Trim Color: Est. Time Of Arrival:
Inboard/Outboard:
Hull I.D.#: Return:
Fuel Capacity: Est. Time of Arrival:
If not back by o’clock
call Coast Guard
Other Information:
Name Of Person Aboard Age Address Phone#
FLOAT PLAN
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