Contact Information:
Ann Bucklin, Professor and Director
New Hampshire Sea Grant Program
142 Morse Hall
Durham, NH 03824
Tel: (603) 862-0122; Fax: (603) 862-0243
Email: acb@christa.unh.edu
FISHING VESSEL INFORMATION
Vessel name:
Vessel owner:
Home port:
Documentation #:
State registration #:
Length overall (ft):
Beam (ft):
Draft (ft):
Tonnage:
HP:
Engine make:
Engine model:
Safety equipment:
Survival suits:
Life rafts:
Emergency radio equipment:
Fire fighting and damage control:
Is the vessel owner operated?
Additional Comments:
OPERATOR CREDENTIALS AND EXPERIENCE
Years experience as operator of vessels:
Years experience as operator of this vessel:
Describe licenses and certifications held:
Organizational affiliations:
Previous research experience:
Please list names of researchers you have taken out:
Describe any research you are particularly interested in,
or research you would like to see initiated:
Coast Guard safety sticker:
VESSEL CONTACT INFORMATION
Name
Address
Business Phone:
Mobile Phone:
Fax:
Email:
VESSEL SPECIFICATIONS
Fishing rigs:
Deck Equipment:
Winches and capacity:
A-frames:
Mast/Boom:
Reels:
Other:
VESSEL SPECIFICATIONS (continued)
Can scientific gear be accommodated on deck?
Square footage:
Wet lab space?
Where?
Square footage:
Dry lab space?
Storage space?
Steaming speed:
Steerage minimum:
Electrical system and source:
Vessel Accommodations
Days capable of staying at sea:
Number of berths:
Normal Crew:
Facilities:
Head:
Shower:
Vessel Permits and Licenses
Primary areas fished:
Primary fisheries:
State permits/licenses:
Federal fishery permits:
Restrictions/limitations:
Vessel Electronics
GPS:
Sounder(s):
Sonar(s):
Additional transducers:
Electronic charting:
Radar
VHF
Single Side Band
Cellular Phone
Computer
Auto pilot
Insurance Information
Hull:
P & I:
Coverage Limit: