46 C.F.R. § 68 app B to Subpart B of Part 68
Department of Homeland Security, U.S. Coast Guard
Oath for Documentation of Vessels For Use by a Not-For-Profit Oil Spill Response Cooperative [46 U.S.C. 12106(d) ]
Cooperative:
Name _______________________________
Address _______________________________
Jurisdiction where incorporated or organized _______________________________
_______________________________
I, the undersigned officer of __________, a not-for-profit oil spill response cooperative, swear that I am legally authorized to make this oath on behalf of the cooperative, and its members and that the cooperative has accepted the vessel __________.
I/we __________, am/are the owner(s) of the vessel. I/we further swear that the vessel has been dedicated to the exclusive use of the cooperative for the purpose of training for, carrying out, or supporting oil spill cleanup operations or related research activities for discharges of oil into the navigable waters of the United States and the Exclusive Economic Zone and that the cooperative has accepted the vessel.
For the Cooperative:
Name _______________________________
Address _______________________________
Cooperative _______________________________
Title or Capacity _______________________________
For Each Vessel Owner:
Name _______________________________
Cooperative _______________________________
Title or Capacity _______________________________
Subscribed and sworn to before me on the day and year shown.
_______________________________
(Notary Public)
Date _______________________________
46 C.F.R. 68 app B to Subpart B of Part 68