USCG CG-4917 2022-2025 free printable template

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DEPARTMENT OF HOMELAND SECURITY US COAST GUARD OMB No: 16250010 Exp. Date: 09/30/2022DEFECT/NONCOMPLIANCE Report agency may not conduct or sponsor, and a person is not required to respond to a collection

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USCG CG-4917 Form Versions

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USCG CG-4917 2022

4.8 Satisfied (68 Votes)

USCG CG-4917 2015

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How to fill out USCG CG-4917

01

Gather necessary information: Collect all required information such as vessel details, owner information, and operation specifics.

02

Obtain the form: Download the USCG CG-4917 from the US Coast Guard website or request a physical copy.

03

Fill out the vessel information section: Provide the vessel's official number, name, and other identifying details.

04

Complete owner information: Enter the owner's name, address, and contact details.

05

Describe the intended operation: Clearly outline the purpose and nature of the vessel’s intended use.

06

Review and verify: Double-check all entries for accuracy and completeness before submission.

07

Submit the form: Send the completed form to the appropriate US Coast Guard office either physically or electronically as directed.

Who needs USCG CG-4917?

01

Individuals or entities who own a vessel and intend to operate in U.S. waters need to fill out the USCG CG-4917.

02

Vessel operators seeking permits, licenses, or operational approval from the Coast Guard.

03

Anyone involved in commercial fishing, passenger transportation, or other commercial maritime activities may also require this form.

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What is USCG CG-4917?

USCG CG-4917 is a form utilized by the United States Coast Guard to report marine casualties and accidents involving vessels.

Who is required to file USCG CG-4917?

Any person involved in a marine casualty, such as operators, owners, or agents of the vessels, is required to file USCG CG-4917.

How to fill out USCG CG-4917?

To fill out USCG CG-4917, provide detailed information about the incident including the vessel's name, the circumstances of the casualty, and any injuries or damages sustained.

What is the purpose of USCG CG-4917?

The purpose of USCG CG-4917 is to provide the Coast Guard with necessary information to investigate marine incidents, enhance safety, and prevent future occurrences.

What information must be reported on USCG CG-4917?

The information that must be reported includes the date and location of the incident, details of the vessel, pertinent individuals involved, nature of the casualty, and any injuries or fatalities.

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