Application For Inspection, U.S. Flagged Vessel

Vessel Name:                        

Official Number:                     

Owner/Operator:                     

Owner/Operator Tax
Identification Number (TIN):      

Address:                                

Name Of Applicant:                 

Phone Number:                       

Email Address:                       

Location Of Inspection:            

Proposed Inspection Date:       

Second Proposed Inspection Date:   

Certificate Of Inspection Issue Date:         

Certificate Of Inspection Expiration Date:  

 Notes:

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:   Yes   No

Payment of the $4,585 Overseas Inspection Fee can be made using one of three payment methods.

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:

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.

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.