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Complete this page, before going boating and leave it with a reliable person who can be depended upon to notify the Coast Guard or other rescue organization, should you not return as scheduled.
Do not file this plan with the Coast Guard.
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| Name of vessel's operator: | |||||||||||
| Telephone Number: | |||||||||||
| Name of Vessel: | |||||||||||
| Registration No.: | |||||||||||
Description of
Vessel:
Most distinguishing identifiable feature: |
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| Rafts/Dinghies: Number:________ Size:_______ Color:_______ | |||||||||||
| Radio: Type: __________________ Frequencies Monitored: _______________ | |||||||||||
| Number of persons onboard: | |||||||||||
| Name: | Age: | Address & Telephone: | |||||||||
| Note: List additional passengers on back. | |||||||||||
| Engine Type:___________ H.P.:_______ Normal Fuel Supply (days):_______ | |||||||||||
Survival equipment on board:
(check as appropriate)
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| Food for ________ days - Water for ________ days | |||||||||||
| Trip: | |||||||||||
| Date & Time of Departure: | |||||||||||
| Departure From: | |||||||||||
| Departure To: | |||||||||||
| Expected to arrive by:____________ In no case later than:_____________ | |||||||||||
| Additional information:
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