Submersible Application

Applicant & Operation Details

First name

Last name

Phone

Business Name

Street Address

City

State

Zip Code

Years of Operation

Description of Operation

Describe how the submersible will normally be used? (e.g., deep-sea research, underwater survey, private pleasure, business use)

Location of Operation

Where will the submersible be operated? (Geographical Limits)

Vessel/Submersible Details

Name of Submarine

Classification Society

(e.g., ABS, DNV, Lloyd's)

Class Number

Date of Next Inspection

Month

Day

Year

Maximum Operating Depth

Hull Construction Material

Built Year

Builder

Primary Propulsion/Power System

Lifespan of Pressure Hull

(Hours/Cycles)

Emergency Life Support

(Duration in Hours)

Communication Systems

(Surface to Sub)

ROV's (Remotely Operated Vehicles)

Year 1

Make/Model 1

Description 1

Serial Number 1

Modifications 1

Value 1

Do you have a second ROV?

Crew & Operator Information

Name of Captain/Pilot

Experience

(Hours in sub type)

Certifications/Licenses

Will passengers be carried?

Coverage Requirements

Hull & Machinery Value (Value of sub):

(Value of sub)

Liability/Protection & Indemnity Limit

Loss History

Have you had any marine claims in the last 5 years?