USPS® FLOAT PLAN Template

For Visitor Number

Complete this form before boating and leave it with a reliable person who can be depended upon to notify the Coast Guard or other rescue organization in case you do not return as scheduled. Do not try to file this form with the Coast Guard, they do not accept float plans. A word of caution: In case you are delayed, and it is not an emergency, inform those with your float plan, the police and/or Coast Guard of your delay in order to avoid an unnecessary search!

Person filing this plan
Name:
Telephone:(Including area code)

Description of boat
Type:	Other:
Hull Color:
Trim Color:
State/Registration Number:
Length in feet:
Name:
Make/Model/Year:

Persons Onboard

Include yourself!

Name Age Address Telephone

Engines
Type: Horse Power: Number of engines: Fuel Capacity in gals:

Survival Equipment (Check as Appropriate):

PFDs Flares Signal Mirror Horn Smoke Signals Flashlight

Raft or Dinghy EPIRB * Paddles Food Water Anchor(s)

* Frequencies: VHF-FM 15/16 121.5 MHZ 406 MHZ

Radio:

Type (Check as Appropriate) Marine VHF: SSB: CB: Cell Phone:

Frequencies/Channels used:

Call sign/MMSI number:

Radio:
Type (Check as Appropriate)	Marine VHF: SSB: CB: Cell Phone:
Frequencies/Channels used:
Call sign/MMSI number:

Trip expectations

Leaving from:

Going To:

Leaving(Date)

Leaving(Time)

Return by(Date)

Return by(Time)

But no later than(Date)

But no later than(Time)

Trip expectations
Leaving from:
Going To:
Leaving(Date)
Leaving(Time)
Return by(Date)
Return by(Time)
But no later than(Date)
But no later than(Time)

Other Pertinent Information:
(If you want more than 6 blank lines, use enter to generate them)

Automobile

Make/Model/Year:

Color(s):

State/License Number:

Trailer State/License Number:

Where Parked:

Automobile
Make/Model/Year:
Color(s):
State/License Number:
Trailer State/License Number:
Where Parked:

If not returned by

Date

Time

CALL

Coast Guard Tel #

or, Local Authority (Name) Tel #

If not returned by
Date
Time
CALL
Coast Guard		Tel #
or, Local Authority (Name)		Tel #

Provided by
United States Power Squadrons - Sail and Power Boating
For information about Boating Classes in your area, call 1-888-FOR-USPS

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Comments are Welcomed

PFDs		Flares		Signal Mirror		Horn		Smoke Signals		Flashlight
Raft or Dinghy		EPIRB *		Paddles		Food		Water		Anchor(s)