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!
NameAgeAddressTelephone

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/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)

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:

If not returned by
Date
Time
CALL
Coast GuardTel #
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
Revised 1 July 1997
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® United States Power Squadrons is a Registered Trademark of United States Power Squadrons, Inc.