Vessel Name:
IMO Number:
Owner/Operator:
Address:
Name Of Applicant:
Phone Number:
Email Address:
Location Of Inspection:
Proposed Inspection Date:
Second Proposed Inspection Date:
Passenger Vessel: Initial Annual Renewal
Oil Tanker: Initial Annual Renewal
Chemical Tanker: Initial Annual Renewal
Gas Carrier: Initial Annual Renewal
Mobile Drilling Unit: Initial Annual Renewal
Does the vessel have a contract for voyage to The United States? Yes No
If Yes: Which U.S. port?
Notes:
Applicants requesting an overseas Certificate of Compliance inspection must remit payment of two fees. They are the $4,585 Overseas Inspection Fee and the $1,100 Foreign Tank Ship Fee.
1. Check or money order, drawn on a U.S. bank and made payable to the "U.S. Treasury."
Checks or money orders for the $4,585 Overseas Inspection Fee can be sent to our US Postal address:
U.S. Coast Guard Activities Europe
Unit#: 21603 189
APO, AE 09703
Please contact our office to obtain mailing address information for within Europe.
Checks or money orders for the $1,100 Foreign Tank Ship Inspection Fee must be sent to:
United States Coast Guard
Inspection Fees Center
PO Box 105663
Atlanta, GA
30348-4663
USA
2. Wire transfer.
3. Charged to Visa or MasterCard Credit Card.
Instructions and forms for remitting payment by wire transfer or credit card can be found on the U.S. Coast Guard Finance Center web site:
http://www.fincen.uscg.mil/vif.htm
All fees must be remitted in U.S. currency. Please include the vessel on the desired form of payment or your deposit will not be associated with an inspection.
Please do not remit payment until we have confirmed our attendance and asked to do so by our office.
In addition to the Overseas Inspection Fee, the applicant is responsible for reimbursing the U.S. government the cost of travel to and from the location of the inspection, lodging, and daily expenses.