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The CG-5136 Form is used to both summarize and detail all personnel, equipment, and other resources used during the
removal activities of an incident. The form consists of several parts.
Details on using and completing all parts of the form are included in Chapters 1 and 6 of the Technical Operating Procedures (TOPs) for Resource Documentation.
| Part... |
Is Used By... |
When... |
To.. |
| E1-E4 |
Contractors |
Daily |
To list contractor personnel, equipment, and other resources incurred each day of removal activity |
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Download Entire Form & Instructions
CG-5136 E Workbooks
You use the Microsoft Excel spreadsheets below as a substitute
for Parts B-E of the CG5136 form. These files are embedded with
the Coast Guard standard
rates (1 MB PDF) for the times indicated to quickly calculate
the daily costs related to oil spill removal. The first worksheet
in each file provides additional instructions.
|
If costs occurred. . . |
And spill lasted. . . |
Use. . . |
File Size |
On or after March 28, 2012 |
7 days or less |
Current Small Spill Form |
348 KB |
More than 7 days |
Current Large Spill Form |
1.37 MB |
On or after February 28, 2011 |
7 days or less |
Previous Small Spill Form |
344 KB |
| More than 7 days |
Previous Large Spill Form |
1.33
MB |
| On or after April 9,
2008 |
7 days or less |
Previous Small Spill Form |
300 KB |
| More than 7 days |
Previous Large Spill Form |
1 MB |
On or after April 5,
2007 |
7 days or less |
Previous Small Spill Form |
300 KB |
| More than 7 days |
Previous Large Spill Form |
1 MB |
| On or after March 15,
2006 |
7 days or less |
Previous Small Spill Form |
300 KB |
| More than 7 days |
Previous Large Spill Form |
1 MB |
| Between February 22, 2005,
and March 14, 2006 |
7 days or less |
Previous Small Spill Form |
300 KB |
| More than 7 days |
Previous Large Spill Form |
1 MB |
| Between October 4, 2002, and February 21, 2005 |
7 days or less |
Previous Small Spill Form |
300 KB |
| More than 7 days |
Previous Large Spill Form |
1 MB |
| Before October 4, 2002 |
N/A |
Email NPFC for appropriate standard rates |
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CG-5136E-1 through CG-5136E-4: Contractor Costs (Dailies)
Oil spill response contractors may use the Parts E1 to E4 of the CG-5136 form to track and submit daily costs. These forms are located on the Coast Guard Form Management System.
| CG-5136E-1 |
Pollution Incident Daily Resource Report - Contractor Personnel |
| CG-5136E-2 |
Pollution Incident Daily Resource Report - Contractor Equipment |
| CG-5136E-3 |
Pollution Incident Daily Resource Report - Contractor / Subcontractor Materials / Other Expenses |
| CG-5136E-4 |
Pollution Incident Daily Resource Report - Contractor / Short Form |
If you have questions concerning the CG-5136E contractor forms, please contact the Shore Infrastructure Logistics Center (SILC).
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Adobe Acrobat Reader (PDF)
Excel