Change of Address - National Documentation Portal

VESSEL NAME

OFFICIAL NUMBER(Required)

CONFIRM OFFICIAL NUMBER(Required)

NEW PHYSICAL ADDRESS?(Required)

YES

New Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Old Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

NEW MAILING ADDRESS?(Required)

YES

New Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Old Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

CONTACT INFORMATION

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

(###) ###-####

APPLICATION FOR CHANGE OF ADDRESS

Price:

Please select any additional services you wish to have processed

Certified (COD)

Abstract of Title

Total

I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME. I CERTIFY THAT THIS REQUEST HAS BEEN MADE WITHIN 10 DAYS OF THE ADDRESS CHANGE.

Please sign your signature for authorization.
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NAME:(Required)

Signature(Required)

I CERTIFY THAT I AM THE MANAGING OWNER OF THE VESSEL NAMED ABOVE

Date

Authorization(Required)

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected USCG documents. I understand that my application will be processed in the order in which it is received by Vessel Documentation Online, a private documentation firm. I understand that application and processing fees are non-refundable as per Vessel Documentation Online's no refund policy and as per 46 CFR 67.500(e). I understand that submitting another application for vessel documentation will supersede the current/pending application for that vessel.

PAYMENT INFORMATION(Required)

Card Details

Cardholder Name

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BILLING ADDRESS(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Agree to Terms and Conditions(Required)

I agree to the terms and conditions below: