Get Sample Damage Claim - U.s. Coast Guard - Uscg

Filing a damage claim with the U.S. Coast Guard can seem daunting, but this guide will simplify the process for you. Follow these steps to ensure your claim is filled out accurately and submitted properly.

Follow the steps to complete your claim efficiently and effectively

1. Press the ‘Get Form’ button to obtain the claim form and open it in your preferred editor.
2. Begin by filling in your personal information in the Claimant Information section. Include your name, address, and contact numbers.
3. Provide information about the incident in the Incident Information section. Include the date, time, and a brief description of what occurred.
4. In the Types of Claims section, indicate the damages being claimed. For example, enter the amount for removal costs and ensure the Total Amount Claimed is clearly stated.
5. Answer the questions related to communication with the responsible party. Check the appropriate boxes to reflect your situation.
6. In the Description section, provide a detailed explanation of the damages and how the incident caused them. Attach additional documentation if necessary.
7. List any witnesses to the incident in the Witnesses section, including their contact information.
8. Compile and attach supporting documentation, such as your letter of explanation, estimates, the marina’s incident report, and photographs of the damage.
9. Finalize the form by reviewing all sections for accuracy, then print it out and sign where indicated. Make sure to retain a copy for your records.
10. Once the form is signed, submit it along with all attachments to the U.S. Coast Guard's National Pollution Funds Center. You can choose to save changes, download, print, or share your claim as needed.

Ready to begin? Complete your damage claim form online today.