Get Cg Npfc-ca1 2003-2025

Filling out the CG NPFC-CA1 form online can seem daunting, but this guide will help you navigate each section easily. This optional claim form is used for submitting claims to the U.S. Coast Guard for potential compensation from the Oil Spill Liability Trust Fund for damages related to oil spills.

Follow the steps to successfully complete the form online:

1. Press the ‘Get Form’ button to access the CG NPFC-CA1 form and open it in your online editor.
2. Complete section one by entering your full name and address, including street, city, state, and ZIP code, along with your contact information.
3. Proceed to section two and fill in the incident information, which includes the home and work telephone numbers, fax number, email, date, time, and NRC report number related to the incident.
4. In the same section, provide the name of the vessel or facility linked to the incident, the geographic location of the event, and a brief description of what occurred.
5. Move to section three and indicate the types of claims you are making by filling out the relevant amounts for removal costs, subsistence use, profits & earning capacity, public services, natural resources, government revenues, and real or personal property.
6. In section four, indicate if you have communicated with the responsible party regarding the incident.
7. Section five requires you to specify if the claim has been submitted to the responsible party and, if so, the date of submission.
8. For section six, describe any actions taken by the responsible party regarding your claim.
9. In section seven, indicate whether you have initiated a legal action to recover costs related to your claim and provide your attorney's information if applicable.
10. Fill in section eight regarding whether you have submitted or plan to submit this loss to an insurer, including insurer details.
11. Section nine allows you to describe the nature and extent of damages claimed. Be sure to include any additional attachments as necessary.
12. Continue with section ten to explain how the incident caused the damages you are claiming.
13. In section eleven, outline the actions you or your representative took to avoid or minimize damages.
14. List witness information in section twelve, including names, addresses, and telephone numbers.
15. Section thirteen requires you to document all additional documents or attachments you are submitting.
16. Sign the form in section fourteen and provide the date. Ensure you print your name clearly.
17. If a legal representative is signing, complete section fifteen with their title and contact information.
18. Lastly, review your completed form for accuracy, save your changes, and download, print, or share the document as needed.

Complete your CG NPFC-CA1 form online today and ensure a smooth submission process.