Get Form Rlm 109 And Rlm 109 1

Form Rlm 109 and Rlm 109 1 are essential documents used to report personal injuries or loss of life in maritime incidents. This guide provides clear and supportive instructions to assist users in completing these forms accurately and efficiently online.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the form in the online editor.
2. Begin filling out the particulars of the vessel section, including the name, official number, IMO number, and type of vessel. You will also need to provide details regarding propulsion and information about the managing agent or ISM company.
3. Proceed to the particulars of the person injured, deceased, or missing section. Here, input the individual’s name, home address, date of birth, citizenship, and seaman's book or passport number. Additionally, state their status or capacity on the vessel and their activity at the time of the casualty.
4. Fill in the particulars of the casualty or accident section. Record the date and time of the casualty, geographical location, and the body of water where the incident occurred. Indicate the result of the casualty and provide necessary details regarding any injuries or death, including how many days they were incapacitated.
5. Describe the events leading up to the casualty in detail. Attach any necessary diagrams or additional sheets for clarity.
6. List witnesses to the accident, ensuring to provide their names and addresses.
7. Complete the assistance and recommendations section. Document any medical messages sent, treatment administered, and provide details of any hospitalizations.
8. Finally, fill in the date of the report, your printed name, signature, and title.
9. Once all sections are completed, you can save your changes, download the form, or print it directly for submission.

Complete the Form Rlm 109 and Rlm 109 1 online to ensure accurate reporting.