Change of Address

YOUR VESSEL NAME
OFFICIAL NUMBER*
PLEASE CONFIRM OFFICIAL NUMBER*
DO YOU HAVE A NEW PHYSICAL ADDRESS?*
- NO
- YES
Your New Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Old Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
DO YOU HAVE A NEW MAILING ADDRESS?*
- NO
- YES
Your New Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Old Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CONTACT INFORMATION
Your Name
First Last
Email*
Enter Email Confirm Email
Phone*
(###) ###-####
TEST - APPLICATION FOR CHANGE OF ADDRESS
Price:
APPLICATION FOR CHANGE OF ADDRESS
Price:
Please select any additional services you wish to have processed
- Certified (COD)
- Abstract of Title
Certified (COD)
Price:
Abstract of Title
Price:
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*
CAPACITY OF PERSON SIGNING (E.G., OWNER, CO-OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)*
*
- 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 National Documentation Registrar 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 National Documentation Registrar Center'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.
Credit Card
Card Details
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 Country
Agree to Terms and Conditions*
I agree to the terms and conditions below:
By clicking submit you agree to these Terms and Conditions and the above authorization of payment.