U. S. Coast Guard Auxiliary Lighthouse Point Flotilla

Vessel Safety Check (VSC) Request

Use this form to request a vessel safety check (VSC) by the Lighthouse Point Flotilla

Please provide the following contact information:

 

Name
E-mail
Street Address
Address (cont.)
City
State
Zip/Postal Code
Work Phone
Home Phone

Vessel Type

Sail without auxiliary power
Sail with auxiliary power
Power boat
PWC
Canoe
Kayak
Airboat
Other

Vessel Length

<16
16-25
26-39
40-65
>65

Powered by:

Gas
Diesel
Sail
Oars
Other

Where is your vessel kept?

If you have a stove onboard is it ... ?

Electric
LPG
CNG
Alcohol
None
Other

What else would you like to tell us?