Forms

All forms could be emailed to portagent @ virginexcursions.com or faxed to 340.775.1152

I-408: Pay Off or Discharge Alien Crewman
I-510: Guarantee of Payment
I-160: Notice of Parole
I-259: Notice to Detain, Remove, or Present Alien

Virgin Port Services Yacht Info Form | Complete online below, or download here.
1. Name of Yacht ................................................
2. Contact email address ....................................
3. Call Sign ........................................................
4. IMO Number ...................................................
(if no IMO Number, please provide other Official Number)
5. Owner of Yacht ..............................................
6. Operator .......................................................
7. Flag Country ..................................................
8. Class Society .................................................
9. Vessel Charter ...............................................
10. Operational Condition of Equipment .................
(Operational, Not Operational, or Not Required)
11. If Not Operational, please describe ................
12. Issuing Agency, Issue Date and Expiration Date for:
12.1 Document of Compliance Certificate...............
12.2 Safety Management Certificate .....................
12.3 International Ship Security Certificate ...........
(also indicate if Initial Interim ISSC, Subsequent and Consecutive Interim ISSC or Final ISSC)
13. Name and 24-hr contact info for the Company Security Officer
14. General Description of Cargo .............................
15. Names, ID numbers, and amounts of any dangerous cargo
16. Name, date of arrival and date of departure for the last 5 ports or places visited
17. Each port or place to be visited in the USA .........
  1. Names of the Receiving Facility
  2. Port or Place
  3. City and State
  4. Estimated Date and Time of Arrival and Departure
18. For Each Crew Member ......................................
  1. Full Name
  2. Date of Birth
  3. Nationality
  4. Passport number or Mariners Document number
  5. Position
  6. Place of Embarkation (port and country)
19. For Each Person Onboard in Addition to Crew ......
  1. Full Name
  2. Date of Birth
  3. Nationality
  4. Passport number
  5. Place of Embarkation (port and country)
 
   

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