Marad Small Vessel Waiver MARAD SMALL VESSEL WAIVER REQUEST FOR ADMINISTRATIVE WAIVER OF THE JONES ACT 46 U.S.C. 12121, 46 C.FR 388 Step 1 of 2 50% THERE ARE A FEW BASIC REQUIREMENTS TO BE FULFILLED IN ORDER FOR A VESSEL TO QUALIFY FOR A WAIVER UNDER THIS PROGRAM A) THE VESSEL MUST BE AT LEAST THREE (3) YEARS OLD. B) THE VESSEL, WHILE IT IS IN SERVICE, CANNOT CARRY MORE THAN 12 PASSENGERS C) THE INTENDED USE OF THE VESSEL MUST BE TO CARRY PASSENGERS ONLY. ANY OTHER ACTIVITIES SUCH AS CARRIAGE OF CARGO, COMMERCIAL FISHING, DREDGING, TOWING, AND SALVAGE DO NOT QUALIFY FOR THIS PROGRAM. SPORT FISHING IS PERMITTED ONLY AS LONG AS ANY FISH CAUGHT ARE NOT SOLD COMMERCIALLY. D) THE VESSEL MUST BE OWNED BY A U.S.-CITIZEN. THE MARAD SMALL VESSEL WAIVER IS NOT A WAIVER OF ANY VESSEL DOCUMENTATION, VESSEL MANNING OR VESSEL INSPECTION REQUIREMENT. ONCE A WAIVER HAS BEEN RECEIVED, THE APPLICANT SHOULD THEN FILE FOR A COAST-WISE TRADE ENDORSEMENT AS A PASSENGER VESSEL WITH THE U.S. COAST GUARD (USCG) SHOULD THE VESSEL BE GREATER THAN 5 NET TONS. This assemblage of information is required in order to obtain a waiver of the U.S.-build and other requirements of the Passenger Services Act (46 U.S.C. 55103) and will be used by the Maritime Administration to determine whether or not the applicant is entitled to a waiver. A. VESSEL NAME AND OFFICIAL #*Base of Operations*HomeportB. OWNER INFORMATION* First Last Owner Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country CONTACT NUMBER*E-MAIL* Enter Email Confirm Email C. VESSEL OFFICIAL # (OR HULL ID #, OR STATE #)D. DATE OF VESSEL CONSTRUCTIONE. SPECIFY PLACE OF VESSEL CONSTRUCTIONVessel Type*(ex. sail, catamaran, hovercraft, motor, etc.)F. VERIFY SIZE, NET TONNAGE AND CAPACITY OF THE VESSEL SIZE * NET TONS * CAPACITY * G. PLEASE CLARIFY ANY INTENDED COMMERCIAL USE OF THE VESSELH. LIST ALL STATE(S) OF INTENDED OPERATION AND TRADE ("ALL STATES" IS NOT APPLICABLE. PLEASE NOTE: A MARAD WAIVER CANNOT BE ISSUED IF THE INTENDED REGION OF OPERATION IS US VIRGIN ISLANDS.)I. PROVIDE A STATEMENT ON THE IMPACT THAT THIS WAIVER WILL HAVE ON OTHER COMMERCIAL PASSENGER VESSEL OPERATORS, INCLUDING A STATEMENT DESCRIBING THE OPERATIONS OF EXISTING OPERATORS (PLEASE ATTACH PAGES AS NEEDED)J. PROVIDE A STATEMENT ON THE IMPACT THAT THIS WAIVER WILL HAVE ON U.S. SHIPYARDS (PLEASE ATTACH PAGES AS NEEDED) Grants Product Price: $0.00 Marad Small Vessel Waiver Price: $965.00 PLEASE SELECT ANY ADDITIONAL SERVICES YOU WISH TO ADD TO HAVE PROCESSED Priority Request/Rush Processing Abstract of Title Preferred Mortgage Satisfaction of Mortgage Priority Request/Rush Processing Price: $75.00 Abstract of Title Price: $75.00 Preferred Mortgage Price: $185.00 Satisfaction of Mortgage Price: $145.00 USCG RENEWAL DOCUMENTATION ADVANCED PAYMENT OPTIONNo Additional Years1 year renewal (additional $75.00)2 year renewal (additional $150.00)3 year renewal (additional $225.00)4 year renewal (additional $300.00)5 year renewal (additional $375.00)You can eliminate the possibility of late fees, as well as reinstatement fees, by paying your yearly renewal documentation in advance. Your certificate of documentation will be automatically renewed each year, for the number of years selected, by Maritime Documentation Center, a private documentation firm. NOTE: The NVDC only issues their vessel renewals for a period/duration of one year each. Your yearly certificate will be valid for one year only. You will receive one (1) Year long certificate each year, depending on how many additional years you have ordered. For each individual year of renewal a new renewal will be AUTOMATICALLY forwarded to your designated address at time of renewal(s). This may require that the vessel owner update their current address to facilitate the renewal process.Total $0.00 AUTHORIZED SIGNATURE*Signature*CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)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 Maritime Documentation Center, a private fee for service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Maritime Documentation Center's no refund policy and as per 46 CFR 67.500(e) Payment Information American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Having Trouble? Check this box to move forward without your Credit Card *My card information is not working; I would like to continue my submission and receive a call from a specialist regarding payment YOUR BILLING ADDRESS* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Enter Email Confirm Email Phone*(###) ###-#### By submitting this information you are deemed to have certified that the above information is true and correct. By clicking submit you agree to these Terms and Conditions and the above authorization of payment. By: Maritime Documentation Center | August 12, 2016