Initial Form

INITIAL FORM

Step 1 of 3

FILLABLE_CLASS

Add name of CLASS under Advanced -> Default Value. Ex: Fillable_Alaska_12_10
Contact Information
Vessel Use / Endorsement
- Pleasure
- Commercial
Name
First Last
Email
Enter Email Confirm Email
Phone
NOTE: FILING THIS APPLICATION WILL NOT ENTITLE A VESSEL TO DOCUMENTATION, OR TO ANY CHANGES DESIRED ON A CERTIFICATE OF DOCUMENTATION. OFFICIAL NUMBERS DESIGNATED ON THE BASIS OF THIS APPLICATION ARE NOT TRANSFERABLE. ONLY A CURRENT CERTIFICATE OF DOCUMENTATION IS VALID FOR VESSEL OPERATION. PLEASE NOTE THAT THIS APPLICATION IS FOR VESSELS THAT HAVE NOT BEEN USCG DOCUMENTED BEFORE.
IN ORDER FOR A VESSEL TO BE DOCUMENTED UNDER U.S. COAST GUARD DOCUMENTATION, THE VESSEL MUST MEASURE AT LEAST FIVE NET TONS (WITH THE EXCEPTION OF CERTAIN OIL SPILL RESPONSE VESSELS) AND BE WHOLLY OWNED BY A CITIZEN OF THE UNITED STATES. VESSELS OF MORE THAN 25 FEET ARE LIKELY TO MEASURE FIVE NET TONS.
A.Vessel Name (Required)

Please enter the name by which you wish the vessel to be known. If you are applying to change the vessel's name, enter the old vessel name in parenthesis. Only standard alpha and numeric characters in the vessel name will appear on the Certificate of Documentation.
Please select from the following:
- I already own this vessel
- I purchased this vessel from another owner
- This vessel was newly built
B. OFFICIAL # (IF AWARDED)

Please enter the Official Number (O/N) awarded by the Coast Guard for all but Initial Issue cases.
Please confirm Official #
C. HULL ID # (IF ANY)

Please enter Hull Identification Number (HIN) as assigned in accordance with 33 CFR 81.
D. IMO # (IF ANY)

Please enter International Maritime Organization Number (IMO), if any.
E. HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL)

Please enter the name of place and state exactly as it is or will be marked on the vessel. The hailing port must be a place in the United States. Commonly used abbreviations such as ‘NY, NY’ are acceptable.
F. NAME OF MANAGING OWNER, E-MAIL ADDRESS, TELEPHONE NUMBER:

Name, e-mail address, and telephone number of the owner to whom the Coast Guard should direct correspondence and their Social Security Number (SSN), or Tax Identification Number (TIN). Only an owner, or part owner, can be the managing owner. For vessels owned by a corporation, the corporation is considered the managing owner. For a trust arrangement, the trustee will be the managing owner. For a Partnership or a LLC, the name of the Partnership or the LLC should be shown.
NAME OF MANAGING OWNER
E-MAIL ADDRESS OF MANAGING OWNER
TELEPHONE NUMBER OF MANAGING OWNER
SOCIAL SECURITY OR TAX ID NUMBER (46 USC 12104): (SECURE FORM)
IS THIS NUMBER YOUR SOCIAL SECURITY NUMBER OR TAX ID NUMBER?
- SOCIAL SECURITY NUMBER
- TAX ID NUMBER
G. ENTER PHYSICAL ADDRESS OF MANAGING OWNER (REQUIRED – 46 CFR 67.113)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
ENTER MAILING ADDRESS OF MANAGING OWNER (IF DIFFERENT THAN PHYSICAL ADDRESS – E.G. , P.O. BOX)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
H. Are There Other Owners (Spouse, Person, Entities) That Own an Interest in the Vessel?
- Yes
- No
Include all persons and/or entities (other than managing owner) who own an interest in the vessel below.
Additional Vessel Owners
Name/Entity Social Security Number (Individual) Tax ID Number (Business Entry)

If you are using a Social Security Number, please leave Tax ID Number blank.
I. PURPOSE OF APPLICATION
Please check applicable blocks to indicate purpose of application. If the vessel has never been documented, check Block #5 and provide ALL requested information known about the vessel's place and year of build, hull material, approximate length, and any previous names and numbers. If this information is unknown, please specify.
- 1. TRANSFER/EXCHANGE OF CERTIFICATE OF DOCUMENTATION
- 2. REPLACEMENT OF LOST, WRONGFULLY WITHHELD OR MUTILATED CERTIFICATE OF DOCUMENTATION
- 3. RE-INSTATEMENT OF CERTIFICATE OF DOCUMENTATION FOLLOWING FAILURE TO RENEW
- 4. RETURN TO DOCUMENTATION FOLLOWING DELETION.
- 5. APPLICATION FOR OFFICIAL NUMBER AND FIRST CERTIFICATE OF DOCUMENTATION.
VESSEL NAME WHEN LAST DOCUMENTED:
VESSEL
- WAS BUILT AT
- IS UNDER CONSTRUCTION AT
AT

City, State, Country
IN

Month, Year
IS UNDER CONSTRUCTION AT
AND IS SCHEDULED FOR COMPLETION IN
HULL MATERIAL:
- WOOD
- STEEL
- FIBROUS REINFORCED PLASTIC
- ALUMINUM
- CONCRETE
- OTHER
DESCRIBE
OVERALL VESSEL DIMENSIONS:
Overall Length (L):
Overall Length (L):
Overall Breadth (B):
Overall Breadth (B):
Overall Depth (D):
Overall Depth (D):
PREVIOUS NAMES, NUMBERS, OR FOREIGN REGISTRATIONS OF VESSEL
J. ENDORSEMENTS FOR WHICH APPLICATION IS MADE
Please check the appropriate block(s) to indicate all endorsement(s) desired on this application.
- RECREATIONAL
- FISHERY
- COASTWISE
- REGISTRY
- COASTWISE – BOWATERS ONLY (CERTIFICATE ON FILE)
- COASTWISE – OIL SPILL RESPONSE ONLY (LETTER OF QUALIFICATION ON FILE)
- COASTWISE UNDER CHARTER TO AN ENTITY QUALIFIED TO ENGAGE IN COASTWISE TRADE (COPY OF CHARTER ON FILE)
K. PRIMARY SERVICE & HORSEPOWER: PLEASE SELECT ONLY ONE SERVICE FOR WHICH THE VESSEL WILL BE PRIMARILY USED AND INSERT HORSEPOWER
- COMMERCIAL FISHING BOAT
- FISH PROCESSING VESSEL
- FREIGHT SHIP
- INDUSTRIAL VESSEL
- MOBILE OFFSHORE DRILLING UNIT
- OIL RECOVERY
- OFFSHORE SUPPLY VESSEL
- PASSENGER (6 OR FEWER)
- PASSENGER (MORE THAN 6)
- PASSENGER BARGE (6 OR FEWER)
- PASSENGER BARGE (MORE THAN 6)
- PUBLIC FREIGHT
- PUBLIC TANKSHIP/BARGE
- PUBLIC VESSEL, UNC
- RECREATIONAL
- RESEARCH VESSEL
- SCHOOL SHIP
- TANK BARGE
- TANK SHIP
- TOWING VESSEL
- UNCLASSIFIED VESSEL
HORSEPOWER

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Contact Information

PRIORITY REQUEST / RUSH PROCESSING

PREFERRED MORTGAGE

SATISFACTION OF MORTGAGE

Name/Entity	Social Security Number (Individual)	Tax ID Number (Business Entry)