 |
FLOAT
PLAN |
 |
Print
out this page and complete it before going boating. 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 (# )
(list additional persons on back) |
| 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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Page last revised on -
07/28/2007