250 R.I. Code R. 250-RICR-80-00-4.12
Abandoned Vessel Removal Application Form
File Number (to be assigned by Agency):
Today's date:
Date sighted or incident:
When did the vessel become abandoned and how was this determined (please attach documentation)?
Removal form filed by:
Mailing address:
Contact phone numbers
Cell:
Office:
mail:
General location of vessel:
Latitude:
Longitude:
Water Depth:
Is vessel on private property
If so, property owner's name and address:
Vessel Name:
Identification Number:
Photos shall be attached detailing various views.
Vessel owner's name:
Owner's address:
Owner's Insurance: Agency
Policy #
Has the vessel owner been found to be unable to pay? Please elaborate.
How is the vessel secured
Length: FT
Beam: FT
Tonnage:
Hull Type (wood, fiberglass etc.):
Propulsion (sail, power):
Type of Fuel (gas/diesel):
Is there anything leaking |
Estimated Fuel on board (gal)
Any other hazardous material
What government agencies have responded to this incident (attach/include reports)
What was the outcome of this response
250 R.I. Code R. 250-RICR-80-00-4.12