Float Plan Template
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1FLOAT PLAN
Complete this form before going out on your boat, and leave it with a reliable person who will notify the Coast
Guard and local authorities if you do not return as scheduled. If you are delayed and it is not an emergency,
inform the person with your float plan to avoid an unnecessary search.
1.
Name of person filing this plan: _____________________________________________________________________
Telephone #: (_________) _________________ - _______________________
2.
Description of boat:
Registration number:_________________ Type: ________________ Make: _________________
Color: _______________ Trim: _________________________ Length: ______________ Name: _________________
3.
Names of persons on board:
Age:
Address:
_______________________________ _______ ____________________________________________________
Telephone #: (_________) ____________ - __________________
_______________________________ _______ ____________________________________________________
Telephone #: (_________) ____________ - __________________
_______________________________ _______ ____________________________________________________
Telephone #: (_________) ____________ - __________________
_______________________________ _______ ____________________________________________________
Telephone #: (_________) ____________ - __________________
_______________________________ _______ ____________________________________________________
Telephone #: (_________) ____________ - __________________
_______________________________ _______ ____________________________________________________
Telephone #: (_________) ____________ - __________________
4.
Description of engine: Type: ____________ Horsepower: _________ # of engines: ___________ Fuel capacity: ________
5.
Survival equipment on board. Check as appropriate:
Life Jackets (PFDs)
Flares
Flashlight
Signal mirror
Anchor(s)
Raft or dinghy
Smoke Signals
Horn
Water
Paddles
Food
6.
Radio
Yes
No
Type: _______________ Frequencies: __________ Call sign: ______________________
7.
Trip expectations
Leaving from: _____________________________________ Going to: _______________________________________
Departing on: ___________ / __________
am
pm
Returning: ___________ / __________
am
pm
date
time
date
time
8.
Other pertinent information: _________________________________________________________________________
9.
Description of automobile:
Trailer license #: _____________ License Plate #: ___________________
Make: __________ Model: _______________ Color: ____________ Where parked: ____________________________
10. If not returned by: ___________ / __________
am
pm
Call:
date
time
U.S. Coast Guard telephone #: (__________) _____________ - __________________________
Local authority: ___________________________ Telephone #: (_________) ___________ - ______________________
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