7
Introduction
Fill out this form before departure. Leave it with a responsible person who will notify the Coast Guard or police if
you don’t return as planned. If you change your plans be sure to notify this person. Make copies of the oat plan and
use one each time you go on a trip. is will help people know where to nd you should you not return on schedule.
Do not le this plan with the Coast Guard.
Persons Aboard:
Name Age Address Phone
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Owner: ________________________________ Safety Equipment Aboard: _________________
Address: ________________________________ Life Jackets
City & State: _____________________________ First Aid Kit
Telephone#: _____________________________ Flares
_______________________________________ Flash Light
_______________________________________ VHF Radio
Person Filing Report: ______________________ Cell Phone __#____________________
Name __________________________________ Computer __Desk Top ____Lap Top___
Telephone ______________________________ E-mail address_____________________
_______________________________________ Food_____Water____
_______________________________________
Make Of Cra : ___________________________ State Registration#________________________
Length______Boat Name __________________ Destination:
Color_______ Trim____ Hp ________________ Leave From __________________________
Inboard ______ Stern Drive_________________ Time Le ____________________________
Hull I.D.# _______________________________ Going To ____________________________
Documented Vessel # ______________________ Fuel Capacity ____________________________
_______________________________________ Est. Day Of Arrival _______________________
Other Information ________________________ ____________________________________
_______________________________________ Est. Time Of Arrival ______________________
_______________________________________ If Not Back By____o’clock Call Authorities
_______________________________________
_______________________________________
VESSEL FLOAT PLAN
____See Other Side For Additional Persons