Get Outer Continental Shelf Supplemental Coverage Form

Filling out the Outer Continental Shelf Supplemental Coverage Form online is a crucial step for ensuring that your coverage needs are met. This guide will walk you through each section of the form, providing clear and helpful instructions to assist you in completing it accurately.

Follow the steps to successfully complete your form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your name in the designated field. Ensure that you provide your full legal name for identification purposes.
3. Input your quote or policy number in the appropriate section. This information helps in linking your application to your existing coverage.
4. In the section regarding activities on offshore platforms, describe in detail the specific operations that will be conducted. This includes the purpose, type of platform, and any relevant processes.
5. Provide information on any training regarding transport to and work on offshore platforms. Indicate whether helicopter ditching survival training, ocean survival training, and proper platform boarding and evacuation procedures are provided, answering 'yes' or 'no' for each.
6. For platforms within Texas waters, provide the class code, payroll details, maximum number of employees on a platform, length of stay, and number of trips. Repeat this process for platforms on the Outer Continental Shelf and other locations as detailed.
7. Answer whether you hold a foreign or international policy. If yes, be prepared to upload a copy of the application and policy.
8. Indicate if any work is performed aboard watercraft or movable platforms. If yes, ensure to submit the Jones Act/Maritime Application.
9. Clarify if you are requesting to exclude a sole proprietor, partner, or officer. If so, provide details of their duties as required.
10. Review the Outer Continental Shelf Coverage Acknowledgment section. Ensure all information is accurate and complete, as inaccuracies may affect coverage.
11. Sign and date the form in the placeholder for the applicant, ensuring that it is signed by an authorized individual.
12. Finally, save your changes, download a copy of the form for your records, and print or share the form as needed.

Complete your Outer Continental Shelf Supplemental Coverage Form online today to ensure your coverage requirements are met.