State Of Delaware - Boat Registration Application Page 2
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4State of Delaware
Division of Fish & Wildlife
89 Kings Highway – Dover, DE 19901
Ph: (302) 739-9916 / Fax: (302) 739-1317
Reason for Application:
BOAT REGISTRATION APPLICATION
DL# _____________________
DECAL # ________________
____ New
____ Transfer
OFFICE USE ONLY
Residency:
____ Resident
____ Non-Resident
Reg. Fee __________
Transfer Fee _________
Duplicate Fee __________
Total ___________________
Please print or type; mark an “X” on appropriate line for EACH category.
HULL MATERIAL
PROPULSION TYPE
PRIMARY OPERATION
AL
______
Aluminum
AT
______
Air Thrust
CH
______
Charter Fishing
DL
______
Dealer/Manu Demo
RV
______
Rubber/Vinyl/Canvas
FI
______
Fiberglass
OT
______
Other
CF
______
Commercial Fishing
PL
______
Pleasure
ST
______
Steel
OT
______
Other
PR
______
Propeller
CO
______
Commercial Other
RL
______
Rental/Lease
WD
______
Wood
PL
______
Plastic
WJ
______
Water Jet
CP
______
Commercial Passenger
DO
______
Documented
IN
______
Inflatable
IN
______
Inboard
VESSEL TYPE
FUEL
ENGINE DRIVE TYPE
AB
______
Air Boat
DI
______
Diesel
OM
______
Open Motorboat
OT
______
Other
AS
______
Auxiliary Sail
EL
______
Electric
OT
______
Other
OU
______
Outboard
CM
______
Cabin Motorboat
GA
______
Gasoline
PB
______
Pontoon Boat
PD
______
Pod Drive
HB
______
Houseboat
OT
______
Other
PW
______
Personal Watercraft
SD
______
Stern Drive
Boat Name
Length
FT.
IN.
Make
(if applicable)
Year built
Hull ID #
Previous Owner (if applicable)
Number Previously Issued
Owner Name (FIRST, MIDDLE, LAST, SUFF.) OR Company Name
Phone Number
Email Address
Shipping Address: STREET ADDRESS, PO BOX, CITY, STATE, & ZIP
Date of Birth
State ID # & State OR Passport # & Country
Joint Ownership if watercraft is owned by more than one person (circle one):
AND
/
OR
2
Owner Name (FIRST, MIDDLE, LAST, SUFF.) OR Company Name
Phone Number
Email Address
nd
Shipping Address: STREET ADDRESS, PO BOX, CITY, STATE, & ZIP
Date of Birth
State ID # & State OR Passport # & Country
3
Owner Name (FIRST, MIDDLE, LAST, SUFF.) OR Company Name
Phone Number
Email Address
rd
Shipping Address: STREET ADDRESS, PO BOX, CITY, STATE, & ZIP
Date of Birth
State ID # & State OR Passport # & Country
I HEREBY CERTIFY THAT I AM THE OWNER OF THIS BOAT, THE INFORMATION ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE, AND
THAT THIS BOAT IS USED PRIMARILY IN DELAWARE. I ALSO ACKNOWLEDGE THAT I MUST NOTIFY THE DIVISION OF FISH & WILDLIFE WITHIN 15
Signature of Owner (s)
Date
DAYS IF THE BOAT IS SOLD.
REVISED 09/14
DOC NO: 40-05-06-02-01-04
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