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DEPARTMENT OF HOMELAND SECURITY
UNITED STATES COAST GUARD
SHIPPING ARTICLES
U. S. Coast Guard
CG-705A (Rev. 03-12)
OMB-1625-0006
Expires 10/31/2011
46 United States Code (U.S.C.) § 10302 & 10502
Notice is hereby given that 46 U.S.C. 10307 makes it obligatory on the part of the master or individual in charge of a vessel when shipping articles are required, to have a legible copy of the agreement required by
46 U.S.C 10302, unsigned by the mariner, and without the next of kin information, exhibited in a part of the vessel accessible to the crew.
ARTICLES OF AGREEMENT BETWEEN MASTER AND SEAMEN IN THE MERCHANT SERVICE OF THE UNITED STATES
NAME OF SHIP
OPERATING COMPANY ON THIS VOYAGE
CLASS OF SHIP
Address
Name
IT IS AGREED between the Master and seamen of the
REGISTERED TONNAGE
GROSS
NET
PORT OF REGISTRY
OFFICIAL NUMBER
, of which
is at present
master, or whoever shall go for Master, now bound from the port of
for a term not exceeding
to
(Here the voyage is to be described, and the places named at which the vessel is to touch, or
if it cannot be done, the general nature, and probable length of the voyage is to be stated.)
calendar months.
The seamen agree to conduct themselves in an orderly, faithful, honest, and sober manner, and to be at all times diligent in their respective duties, and to be obedient to the lawful commands of the
master, or of an individual who lawfully succeeds the master, and of their superior officers in everything related to the vessel, and the stores and cargo of the vessel, whether on board, in boats, or on
shore. In consideration of this service by the seamen to be performed, the master agrees to pay the crew, as wages, the amounts beside their names respectively expressed, and to supply them with
the following provisions: at least 3 meals a day that total at least 3,100 calories, including adequate water and adequate protein, vitamins, and minerals, in accordance the United States
Recommended Daily Allowance.
It is agreed that any embezzlement, or willful or negligent destruction of any part of the vessel’s cargo or stores, shall be made good to the owner out of the wages of the person guilty of the
embezzlement or destruction. If an individual holds himself or herself out as qualified for a duty which the individual proves incompetent to perform, the individual’s wages shall be reduced in
proportion to the incompetency.
It also is agreed that if a seaman considers himself or herself to be aggrieved by any breach of this agreement or otherwise, the seaman shall present the complaint to the master or officer in charge
of the vessel, in a quiet and orderly manner, who shall take steps that the case requires.
It is also agreed that
(Here any other stipulations may be inserted to which the parties agree, and that are not contrary to law).
IN WITNESS WHEREOF, the parties have subscribed their names to this agreement, on the dates beside their respective signatures.
Signed by
MASTER'S DATE OF BIRTH
, Master, on the
PLACE OF BIRTH
CREDENTIAL NUMBER
day of
NAME AND ADDRESS OF NEXT OF KIN
, two thousand and
HOME ADDRESS
.
SHIPPING ARTICLES OF
U. S. Coast Guard
CG-705A (Rev. 03-12)
NAME AND SIGNATURE
OF SEAMAN
State of
PAGE NO.
PARTICULARS OF ENGAGEMENT
CAPACITY
Alabama
WAGES PER
MONTH
CREDENTIAL
NUMBER
BIRTHPLACE
DATE OF
BIRTH
REFERENCE
NUMBER
PLACE OF SIGNING
DATE OF
SIGNING
TIME AT
WHICH TO BE
ON BOARD
NEXT OF KIN
NAME AND ADDRESS
Signature or Initials
of Master
, Port of
On this
day of
personally appeared before me, the above-named seamen, severally known to me to the same persons
who executed the instruments above (shipping articles), who, had read or had heard the same; that they were by me made acquainted with the conditions thereof, and
understood the same; and that, while sober, and not in a state of intoxication signed it freely and voluntarily, for the purposes therein mentioned.
SHIPPING ARTICLES OF
U. S. Coast Guard
CG-705A (Rev. 03-12)
PLACE
For Leaving Boat
PAGE NO.
PARTICULARS OF DISCHARGE
DATE
Of Leaving Boat
CAUSE
For Leaving Boat
TIME OF
SERVICE:
DAYS
WAGES
EARNED
DEDUCTIONS
BALANCES OF
WAGES PAID ON
DISCHARGE
DATE WAGES PAID
AND RELEASE
SIGNED
We, the undersigned seamen, do hereby, each one for themselves by our
signatures herewith given in consideration of settlements made, release
the Master and owners for all claims for wages in respect of this voyage or
engagement, and I, the Master, do also release each of the undersigned
seamen from all claims, in consideration of this release signed by them.
___________________________________________ Master's Signature
Name and Signature of Seaman
U. S. Coast Guard
CG-705A (Rev. 03-12)
PRIVACY ACT STATEMENT
In accordance with 5 U.S.C. 552a(e)(3), THE FOLLOWING INFORMATION IS PROVIDED TO YOU WHEN SUPPLYING PERSONAL INFORMATION TO THE U.S. COAST GUARD.
1. AUTHORITY WHICH AUTHORIZED THE SOLICITATION OF INFORMATION:
A. 46 U.S.C. § 10302, 10303, 10304 , 10305, AND 10502.
B. SEE 46 CODE OF FEDERAL REGULATIONS PART 14.
2. PRINCIPLE PURPOSES FOR WHICH INFORMATION IS INTENDED TO BE USED:
A. ESTABLISH A CONTRACT BETWEEN THE SHIPPING COMPANY AND THE CREW MEMBERS PRIOR TO THE BEGINNING OF A VOYAGE AS IS REQUIRED BY LAW.
B. PROVIDES THE U.S. COAST GUARD WITH AN OFFICIAL VESSEL ACTIVITY FILE AS WELL AS A COMPLETE LISTING OF THE SEAMEN EMPLOYED DURING THE VOYAGE, THEIR NAMES
WAGES, ADDRESSES OF NEXT OF KIN, TIME TO BE ONBOARD, BIRTH DATES, CAPACITIES, AND CREDENTIAL NUMBERS.
C. PART OF THE INFORMATION IS TRANSFERRED TO A FILE MANAGEMENT COMPUTER SYSTEM FOR A PERMANENT RECORD.
3. THE ROUTINE USES WHICH MAY BE MADE OF THE INFORMATION:
A. TO MAINTAIN RECORDS REQUIRED BY 46 U.S.C. 7319.
B. TO ENABLE ELIGIBLE PARTIES (i.e. the mariner’s heirs or properly designated representative) TO OBTAIN INFORMATION.
C. TO PROVIDE INFORMATION TO THE U.S. MARITIME ADMINISTRATION FOR USE IN DEVELOPING MANPOWER STUDIES AND TRAINING BUDGET
NEEDS.
D. TO DEVELOP INFORMATION AT THE REQUEST OF COMMITTEES OF CONGRESS.
E. TO PROJECT BILLET ASSIGNMENTS AT COAST GUARD MARINE INSPECTION/SAFETY UNITS.
F. TO PROVIDE INFORMATION TO LAW ENFORCEMENT AGENCIES FOR CRIMINAL OR CIVIL LAW ENFORCEMENT PURPOSES.
G. TO ASSIST U.S. COAST GUARD INVESTIGATING OFFICERS AND ADMINISTRATIVE LAW JUDGES IN DETERMINING MISCONDUCT, CAUSES OF
CASUALTIES, AND APPROPRIATE SUSPENSION AND REVOCATION ACTIONS.
4. WHETHER OR NOT DISCLOSURE OF SUCH INFORMATION IS MANDATORY OR VOLUNTARY (Required by law or optional) AND THE EFFECTS ON THE INDIVIDUAL, IF ANY, OF NOT PROVIDING
ALL OR PART OF THE REQUESTED INFORMATION: DISCLOSURE OF THIS INFORMATION IS VOLUNTARY, BUT SUBJECT SEAMEN MAY NOT BE PERMITTED TO ENGAGE IN EMPLOYMENT
ABOARD THE VESSEL FOR WHICH ARTICLES ARE BEING OPENED.
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The Coast Guard estimates that the average burden for
this report is 90 minutes. You may submit any comments concerning the accuracy of this burden estimate or any suggestions for reducing the burden to: Commanding Officer, U.S. Coast Guard National
Maritime Center, 100 Forbes Drive, Martinsburg, WV 25404 or Office of Management and Budget, Paperwork Reduction Project (1625-0040), Washington, DC 20503.
File Type | application/pdf |
File Modified | 2012-03-01 |
File Created | 2010-12-13 |