Coast Guard Vessel Documentation Change of Address

VESSEL NAME
OFFICIAL NUMBER*
CONFIRM OFFICIAL NUMBER*
NEW PHYSICAL ADDRESS?*
- NO
- YES
New Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Old Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
NEW MAILING ADDRESS?*
- NO
- YES
New Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Old Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CONTACT INFORMATION
Name*
First Last
Email*
Enter Email Confirm Email
Phone*
(###) ###-####
APPLICATION FOR CHANGE OF ADDRESS
Price:
Please select any additional services you wish to have processed
- Certified (COD)
- Abstract of Title
Total
$0.00
*
- I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME. I CERTIFY THAT THIS REQUEST HAS BEEN MADE WITHIN 10 DAYS OF THE ADDRESS CHANGE.
Please sign your signature for authorization.
If signing on a Mobile device, please use your finger. On computers, please use your mouse.
NAME:*
Signature*
*
- I CERTIFY THAT I AM THE MANAGING OWNER OF THE VESSEL NAMED ABOVE
Date
MM slash DD slash YYYY
Authorization*
- I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected USCG documents. I understand that my application will be processed in the order in which it is received by Vessel Documentation Online LLC, a private documentation firm. I understand that application and processing fees are non-refundable as per Vessel Documentation Online LLC's no refund policy and as per 46 CFR 67.500(e). I understand that submitting another application for vessel documentation will supersede the current/pending application for that vessel.
Payment Information

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Hidden
Hidden
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BILLING ADDRESS*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
By clicking submit you agree to these Terms and Conditions and the above authorization of payment.

Change of Address

CHANGE OF ADDRESS