PRE-DEPARTURE FLOAT PLAN - page 1of 2
Owner's Name		Propulsion	Outboard I/O Inboard
Address			Single Screw Twin Screw
Boat Name		Engine Type	Outboard Gas I/O & Inbd. Gas Diesel
Boat Type/ Length		Departure/ Destination Points
Boat Color		Route
Safety Equip. (Beyond Req.)
Expected Return Date & Time		Date/Time to call search Phone# of Local U.S.C.G. Station
If trailering: Automobile		License Plate #

PRE-DEPARTURE FLOAT PLAN - page 2 of 2
# Persons		VHF Call
Emergency Phone #s		Frequencies
Person in Command		Mate
Address		Address
Phone		Phone
Special Medical Concerns		Special Medical Concerns
Crew Name		Crew Name
Address		Address
Phone		Phone
Special Medical Concerns		Special Medical Concerns

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