The proper use of float plans can save lives. It is a felony to file a felonious missing ship report or cause a felonious report to be filed with any official government rescue agency.

Fill out as much information as you can. You must fill out your name, phone and address (for verification). In the event you are reported missing, this information will be of great value to the Coast Guard or other rescue agencies.

Privacy Note: The information entered below is used solely for the purpose of assisting in your rescue should it be necessary. No information is used or shared for any other purpose.

Boat Captain or Owner / Operator Information
Captain Name: Last:
First:
Address:
City:
State:
Phone:
Cell Phone:
Emai l (required):
Location where your trip will begin:
Marina:
City:
 State:
 
Location where your trip will terminate:(type 'same' if same as "begin" point)
Marina:
City:
 State:
   
Boat Information
Make:
Model:
Overall Length:
Primary Hull Color:
Deck Color:
Secondary Hull Color:
 
Boat Name:
Is the Boat Name painted on the stern?:
 Yes No
Is the Boat Name painted on the bow?:
 Yes No
What is your Home Port?:
Is the Home Port painted on the stern?:
 Yes No
   
Planned Trip Information:
Have you made this trip before?:
 Yes No
When do you expect to leave port (dock)?:
Month: Day: Time:
When do you expect to arrive in destination port (dock)?:
Month: Day: Time:
When do you plan to return to your home port (dock)?
Month: Day: Time:
How many hours of fuel do you have on board?:
Do you plan on refueling during your trip?:
 Yes No
   
Crew and Passengers:
How many people will be on board including yourself?:
How many children will be on board 3 years old and under?:
How many children will be on board 4-6 years old?:
How many children will be on board 7-12 years old?:
   
Fuel Type
Is your engine gas?:
 Yes No
Is your engine diesel?:
 Yes No
   
Safety and Communications Equipment
USCG approved live vest for every person on board?:
 Yes No
USCG approved flares:
 Yes No
VHF Radio:
 Yes No
Cell Phone:
 Yes No
If yes, phone number:
Single side band or Short wave tranceiver:
 Yes No
Up to date Fire Extinguisher(s):
 Yes No
   
Safety and Survival Equipment
Do you have an EPIRB on board?:
 Yes No
USCG approved Inflatable Life Raft?:
 Yes No
If yes, what color:

USCG approved Inflatable Dingy?:

 Yes No
If yes, what color:
Dingy Length:
Dingy Manufacturer:
Do you have a first aid kit?:
 Yes No
Do you have emergency water in bottles (not water stored in your boat tanks):
 Yes No
   
Navigational Equipment
Do you have a GPS?:
 Yes No
   

Katie Novotny, Marina Administrator • katie@piyc.net

- top of page -