MARAD Small Vessel Waiver REQUEST FOR ADMINISTRATIVE WAIVER OF THE JONES ACT 46 U.S.C. 12121, 46 C.FR 388 Step 1 of 2 50% THERE ARE SOME BASIC REQUIREMENTS FOR A VESSEL TO QUALIFY FOR A WAIVER UNDER THIS PROGRAM A) THE VESSEL MUST BE AT LEAST THREE YEARS OLD. B) THE VESSEL, WHEN IN SERVICE, CANNOT CARRY MORE THAN 12 PASSENGERS C) THE INTENDED USE MUST BE TO CARRY PASSENGERS ONLY. ACTIVITIES SUCH AS CARRIAGE OF CARGO, COMMERCIAL FISHING, TOWING, DREDGING AND SALVAGE DO NOT QUALIFY FOR THIS PROGRAM. SPORT FISHING IS PERMITTED AS LONG AS THE FISH CAUGHT ARE NOT SOLD COMMERCIALLY. D) THE VESSEL MUST BE OWNED BY A U.S.-CITIZEN. THIS IS NOT A WAIVER OF ANY VESSEL DOCUMENTATION, VESSEL MANNING OR VESSEL INSPECTION REQUIREMENT. ONCE A WAIVER IS RECEIVED, THE APPLICANT SHOULD FILE FOR A COAST-WISE TRADE ENDORSEMENT AS A PASSENGER VESSEL WITH THE U.S. COAST GUARD (USCG) IF THE VESSEL IS GREATER THAN 5 NET TONS. This collection of information is required to obtain a waiver of the U.S.-build and other requirements of the Passenger Services Act (46 U.S.C. 55103) and will be used by the Maritime Administration to determine if the applicant is entitled to a waiver. A. VESSEL NAME AND OFFICIAL #(Required) Base of Operations(Required) HomeportB. OWNER INFORMATION(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country CONTACT NUMBER(Required)E-MAIL(Required) Enter Email Confirm Email C. VESSEL OFFICIAL # (OR HULL ID #, OR STATE #) D. DATE OF VESSEL CONSTRUCTION E. PLACE OF VESSEL CONSTRUCTION Vessel Type(Required) (ex. sail, catamaran, hovercraft, motor, etc.)F. SIZE, NET TONNAGE AND CAPACITY OF THE VESSEL SIZE * NET TONS * CAPACITY * G. INTENDED COMMERCIAL USE OF THE VESSELH. LIST ALL STATE(S) OF INTENDED OPERATION AND TRADE ("ALL STATES" IS NOT APPLICABLE. PLEASE NOTE: A MARAD WAIVER CANNOT BE ISSUED IF THE INTENDED REGION OF OPERATION IS US VIRGIN ISLANDS.)I. A STATEMENT ON THE IMPACT THIS WAIVER WILL HAVE ON OTHER COMMERCIAL PASSENGER VESSEL OPERATORS, INCLUDING A STATEMENT DESCRIBING THE OPERATIONS OF EXISTING OPERATORS (ATTACH PAGES AS NEEDED)J. A STATEMENT ON THE IMPACT THIS WAIVER WILL HAVE ON U.S. SHIPYARDS (ATTACH PAGES AS NEEDED) Grants Product Price: Marad Small Vessel Waiver Price: PLEASE SELECT ANY ADDITIONAL SERVICES YOU WISH TO ADD TO HAVE PROCESSED Priority Request/Rush Processing Abstract of Title Preferred Mortgage Satisfaction of Mortgage USCG RENEWAL DOCUMENTATION ADVANCED PAYMENT OPTIONNOTE: Your yearly certificate will be valid for one year only. You will receive one (1) Year long certificate each year, depending on how many additional years you have ordered. For each individual year of renewal, a new renewal will be AUTOMATICALLY forwarded to your designated address at the time of renewal(s). This may require that the vessel owner update their current address to facilitate the renewal process. 1 year renewal (additional $75.00) 2 year renewal (additional $150.00) 3 year renewal (additional $225.00) 4 year renewal (additional $300.00) 5 year renewal (additional $375.00) Total AUTHORIZED SIGNATURE(Required) SIGNATURE (TYPE FULL NAME)Signature(Required)CAPACITY (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER) CAPACITY (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)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 Having Trouble? Check this box to move forward without your Credit Card *My card information is not working; I would like to continue my submission and receive a call from a specialist regarding payment BILLING ADDRESS(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Phone(Required)(###) ###-####Agree to Terms and Conditions(Required) I agree to the terms and conditions below: