CG-1258 Attachment Application for Initial Issue, Exchange, or Replacement

DEPARTMENT OF HOMELAND SECURITY

U.S. Coast Guard
APPLICATION FOR INITIAL ISSUE, EXCHANGE, OR REPLACEMENT OF CERTIFICATE OF
DOCUMENTATION; REDOCUMENTATION
SECTION A – ADDITIONAL VESSELS
VESSEL NAME (REQUIRED)

OFFICIAL NUMBER (IF AWARDED)

HULL ID NUMBER (IF ANY)

IMO NUMBER (IF ANY)

HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL EXACTLY AS SHOWN) (REQUIRED)
VESSEL NAME (REQUIRED)

OFFICIAL NUMBER (IF AWARDED)

HULL ID NUMBER (IF ANY)

IMO NUMBER (IF ANY)

HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL EXACTLY AS SHOWN) (REQUIRED)
VESSEL NAME (REQUIRED)

OFFICIAL NUMBER (IF AWARDED)

HULL ID NUMBER (IF ANY)

IMO NUMBER (IF ANY)

HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL EXACTLY AS SHOWN) (REQUIRED)
VESSEL NAME (REQUIRED)

OFFICIAL NUMBER (IF AWARDED)

HULL ID NUMBER (IF ANY)

IMO NUMBER (IF ANY)

HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL EXACTLY AS SHOWN) (REQUIRED)
VESSEL NAME (REQUIRED)

OFFICIAL NUMBER (IF AWARDED)

HULL ID NUMBER (IF ANY)

IMO NUMBER (IF ANY)

HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL EXACTLY AS SHOWN) (REQUIRED)
VESSEL NAME (REQUIRED)

OFFICIAL NUMBER (IF AWARDED)

HULL ID NUMBER (IF ANY)

IMO NUMBER (IF ANY)

HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL EXACTLY AS SHOWN) (REQUIRED)
VESSEL NAME (REQUIRED)

OFFICIAL NUMBER (IF AWARDED)

HULL ID NUMBER (IF ANY)

IMO NUMBER (IF ANY)

HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL EXACTLY AS SHOWN) (REQUIRED)
VESSEL NAME (REQUIRED)

OFFICIAL NUMBER (IF AWARDED)

HULL ID NUMBER (IF ANY)

IMO NUMBER (IF ANY)

HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL EXACTLY AS SHOWN) (REQUIRED)
CG-1258 (04/12)

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