Specializing in Medical Supplies for Boats
Customized Cost-Effective Solutions for Maritime Safety Since 1980

Float Plan

Personal Information
Name of Person Reporting   Telephone Number  

Description of the Boat
Type   Color  
Trim   Registration No.  
Length   Name  
Manufacturer   Engine Type  
Horsepower   No. of Engines  
Fuel Capacity   Range  
Other Information

 

 


Persons Aboard (attach additional sheets as necessary)
Name          
Age          
Address          
Phone          

Medical Information
Do any of the persons aboard have a medical problem?  YES   NO  (circle one)
If yes, describe the problem(s) in this space.

 

 

 


Survival Equipment
(Circle as appropriate.  For a more complete listing use our Safety Inventory form)
PFD's FLARES MIRROR SMOKE SIGNALS
FLASHLIGHT FOOD PADDLES WATER
ANCHOR RAFT or DINGHY EPRIB RADIO
If you have a radio on board, specify what type:

Trip Expectations
Leaving From   Going To  
Date Leaving   Time Leaving  
Expected Return (date/time)   In no event later than (date/time)  

Automobile Information
Make & Model   Color  
Auto License No.   License State/Type  
Trailer? YES / NO Trailer License No.  

Any Other Pertinent Information
 

 

 


IF NOT RETURNED BY (Time & Date) CALL THE U.S. COAST GUARD OR CONTACT THE LOCAL AUTHORITIES

Emergency Numbers
U.S. Coast Guard:   Local Police Dept.:  
Marine Patrol:   Other  
Other   Other  

Return to Organizational Tools Page