Float Plan
53
Survival Equipment
Marine Radio (Yes/No)
Type
Frequencies
Number of PFDs
Flares (Yes/No)
Mirror (yes or no)
Smoke Signals (Yes/No)
Flashlight (Yes/No)
Food (Yes/No)
Water (Yes/No)
Anchor (Yes/No)
Raft/Dinghy (Yes/No)
Paddles (Yes/No)
EPIRB (Yes/No)
Other
Other
Other
Other
Vehicle Description
Make
Model
Color
License Number
Where is the Vehicle Parked?
Trip Expectations
Departing From
Departure Date
Departure Time
Stopover 1
Arrive No Later Than: Date
Arrive No Later Than: Time
Stopover 2
Arrive No Later Than: Date
Arrive No Later Than: Time
Stopover 3
Arrive No Later Than: Date
Arrive No Later Than: Time
Stopover 4
Arrive No Later Than: Date
Arrive No Later Than: Time
Stopover 5
Arrive No Later Than: Date
Arrive No Later Than: Time
Stopover 6
Arrive No Later Than: Date
Arrive No Later Than: Time
Final Destination Port (If Different Than Home Port)
Arrive No Later Than: Date
Arrive No Later Than: Time
If not returned by the date and time listed above, call
the Coast Guard or other local authority.
Coast Guard Phone Number
Local Authority Phone Number
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