Owner/Operator Tax Identification Number (TIN):
Name Of Applicant:
Location Of Inspection:
Proposed Inspection Date:
Second Proposed Inspection Date:
Certificate Of Inspection Issue Date:
Certificate Of Inspection Expiration Date:
Is the vessel
enrolled in the Alternate Compliance Program (ACP):
Is the vessel enrolled in the Maritime Security Program
Applicants requesting an overseas inspection must remit payment of a
$4,585 Overseas Inspection Fee before we will travel for the inspection.
Has the Overseas Inspection Fee been paid:
Payment of the $4,585 Overseas Inspection Fee can be made using one of three
1. Check or money order, drawn on a U.S. bank and made payable to the
"U.S. Treasury." Checks or money orders can be sent to our office
Please see our "contact" page to obtain mailing address information.
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:
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
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.