Emergency Contact Name What is the name of the person we should contact in the event of an emergency with your vessel?
Emergency Contact Relationship to Owner Details What is the emergency contact's relationship to the owner?
Vessel Name What is the name of the vessel?
Residence Owner? Who is the owner of the private residence?
Name of Marina? What is the name of the marina?
GPS Tracker Make What is the GPS tracker manufacturer's name?
GPS Tracker Model What is the GPS tracker model?
Additional Vessel Attendee Who attends to the vessel when you do not or are unable to?
Attendee Relationship to Owner What is the back up attendee's relationship to you / the owner?
Storm Preparedness Plan Please give full details of your plan for protecting the vessel in the event of any storm warning, including intended places of refuge, mooring and/or anchoring arrangements and how the vessel will be secured.
Back Up Plan Details? Please provide details of your back up plan.
Securing Vessel Details Please provide details on how the vessel will be secured ashore.
Storm Experience Tips Please share any tips or comments you can from your prior experience. We appreciate it!
Insured Full Name Please print your full name