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Float Plan

Complete this page before going boating. Print it out 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.

Name of person filing:

Phone number:

Description of Vessel

Type:

Color:

Trim:

Registration No:

Document No:

Length:

Vessel Name:

Make:

Other info:

Engine Type:

Horsepower:

No. Of Engines:

Fuel Capacity:

Survival Equipment

(check as appropriate)

PFDs

Flares / Type:

Mirror

Smoke Signals

Flashlight

Food

Paddles

Water

Anchor

Raft / Type:

Dinghy

EPIRB / Type:

Other:

Communication / Navigation Equipment

Radio VHF-FM MF HF Other:

DSC VHF-FM MF HF MMSI:

Cellular phone / Number:

LORAN C GPS RADAR

Automobile / Trailer

Auto license No. / State: Auto make / model:

Auto color: Auto year:

Trailer type: Trailer license No:

Where parked:

Persons On Board (# ):

Name

Age

Address

Telephone No

Name

Age

Address

Telephone No.

Name

Age

Address

Telephone No.

Name

Age

Address

Telephone No.

Do you or any of the persons on board have a medical problem?

Yes

No

If yes, what?

Trip Expectations

Leave at:

From:

Going to:

via:

via:

via:

Expected to arrive / return by: (time)

and not later than: (time)

If not returned by: (time) call the COAST GUARD, or (local authority)

Telephone numbers:

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