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FLOAT PLAN
Name of Operator______________________________ Telephone Number(___) _______________
Address__________________________________________________________________________
Description of Boat:________________________________________________________________
Name____________________________ Make___________________________Model__________________
Length____________________Hull Color_________________________Deck Color___________________
Distinguishing Features ____________________________________________________________________
Registration No._______________________________ Home Port__________________________________
Name, Address, Telephone Number, and Age of Persons Aboard:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Safety Equipment: ___ PFD’s ___ Flares ___ Mirror ___ Flashlight
___ Food ___ Water ___ EPIRB ___ Raft/dinghy
Fuel Capacity_________________________ Water Capacity_______________________________
Engine Make____________________ Model (Size)____________________ H.P.______________
Radio Type______________ Radio Frequencies____________________Call Letters___________________
Departed From___________________________________ Date____/____/_____ Time ____:____ AM PM
Destination________________________________________________ Date___/___/______
Stops___________________________________________________________________________________
If not returned by_____________________ , call the Coast Guard or: ________________________________
at:______________________________________________________________________________________
Float Plan fi led by (name)___________________ at (place)_____________________(date)___/___/_______
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