DEPARTMENT OF HOMELAND SECURITY US COAST GUARD OMB No: 16250010 Exp. Date: 09/30/2022DEFECT/NONCOMPLIANCE Report agency may not conduct or sponsor, and a person is not required to respond to a collection.

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How to fill out the USCG CG-4917 online

The USCG CG-4917 form, also known as the defect/noncompliance report, is essential for reporting issues related to safety standards in recreational vessels. This guide provides step-by-step instructions for users to complete the form online effectively and accurately.

Follow the steps to fill out the USCG CG-4917 online.

  1. Press the ‘Get Form’ button to access the document and open it in the online editor.
  2. In the section labeled '1. Name and address of company conducting defect notification campaign,' provide the company’s full name and address, including ZIP code.
  3. For '2. Name, phone number, and e-mail of person to contact,' enter the details of the contact person for further communication.
  4. If the report concerns a defective component, fill out '3. Manufacturer name and address' with the relevant details.
  5. In '4a. Identification of boats potentially involved,' list each boat model and the corresponding number potentially involved. Attach a complete list of all potentially involved Hull Identification Numbers (HINs) to the document.
  6. If the products involved are not boats, complete '4b' by providing the model, serial numbers, and year for each relevant product.
  7. Provide a detailed '5. Description of defect or noncompliance' outlining the nature of the issue.
  8. In '6. Degree of danger to the public,' assess and describe the potential risks associated with continued use of the product without repair.
  9. Detail the '7. Manner in which products recalled will be corrected,' using additional space on Page 2 if needed.
  10. In '8. Description of proposed correction,' specify who will perform the corrections, where, and when these will take place.
  11. Summarize the '9. Actions taken to date to correct this defect or noncompliance.'
  12. For '10. Current status of campaign,' provide the necessary information for each subsection a-f regarding the units involved.
  13. If applicable, reply to '11. If any of the information requested in 10 above is not available,' indicating when the information will be ready.
  14. Conclude by signing the report in the 'Signature of preparer' section, along with the title and date.
  15. Finally, ensure all changes are saved, then download, print, or share the completed form as needed.

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