![]() |
FLOAT PLAN |
| 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 | |||||||||||
| 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. | ||||
| 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: | |||||
Facts
Page![]()
USCG Home Page
USCG SAR Home Page
6/15/99
Contact: rschaefer@comdt.uscg.mil