Form 88-191 Atlantic HMS Trip Summary Report, Set Report, Cost-Earni

Highly Migratory Species Vessel Logbooks and Cost-Earnings Data Reports

Logbook and Cost Earning Reporting Forms

Highly Migratory Species Vessel Trip Reports with Catch

OMB: 0648-0371

Document [pdf]
Download: pdf | pdf
UNITED STATES DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMIN.
NATIONAL MARINE FISHERIES SERVICE

2014
SET FORMS

FISHING VESSEL LOGBOOK RECORD
ATLANTIC HIGHLY MIGRATORY SPECIES
FISHERIES

YOU ARE ADVISED THAT DISCLOSURE OF THE INFORMATION REQUESTED IN THIS REPORT
IS MANDATORY FOR THE PURPOSE OF MANAGING THE FISHERIES IN ACCORDANCE WITH
THE ATLANTIC TUNAS CONVENTION ACT (16 U.S. 971 ET. SEQ.) AND THE FISHERY
CONSERVATION AND MANAGEMENT ACT OF 1976 (16 U.S.C. 1801 ET. SEQ.). FAILURE TO
REPORT MAY RESULT IN CIVIL OR CRIMINAL SANCTIONS.

NAME OF VESSEL : _______________________________________________

PERMIT NUMBER : ________________________________________________

NOAA FORM 88-191

OMB Control NO. 0648-0371
(Revised 07-13)

Expiration Date 03/31/2018

SET FORM INSTRUCTIONS
This form is to be used to report fishing activity for Atlantic highly migratory species (HMS) permit holders.
Under current regulations, all fishermen are responsible for submitting a logbook for every fishing trip. Set forms
must be filled out within 48 hours of that day’s activities or before offloading, whichever is sooner.
Please print all requested information clearly. A form with incomplete or unclear information may delay
processing and will not be credited towards your compliance. This lack of compliance may result in your permit
renewal being denied. Monthly reporting for individuals holding Swordfish and Shark permits will be
considered complete and in compliance with the regulations only if: 1.) A Trip Summary is completed for
each trip made, 2.) individual Set forms are completed for each set made during a trip (longline) or 24 hour period
of fishing activity (non-longline), 3.) Tally Records (individual dressed weights) for all fish sold are submitted for
each trip made; or 4.) A “No Fishing” reporting form is submitted when no fishing occurred during a calendar
month.
If a permitted vessel did NOT fish during a calendar month, a No Fishing Reporting Form must be submitted. No
Fishing Reporting Forms are located in the back of the Trip Summary Logbook, behind the trip report forms.
Please note the following for No Fish Reports:
• A separate form must be completed for each month that no fishing occurred;
• Please do not submit one form for multiple months.
• Do not submit more than one form for each month.
• Put a check by each permit to indicate the fishery in which no fishing occurred.
• Multiple fisheries can be reported on one form.
• Do not check fisheries for which you do NOT have a permit.
Please mail original set forms, along with the original Trip Summary Form and original weigh out slips (tally
records), or a No Fishing Reporting Form in the pre-addressed envelopes provided. The address is as follows:
National Marine Fisheries Service
Logbook Program
P.O. Box 491740
Key Biscayne, Florida 33149-9915
Set forms must be completed within 48 hours of that day’s activities or before offloading, whichever is sooner.
Reports should be postmarked no later than the 7th day after offloading all Atlantic Highly Migratory Species, or
(7) days after the end of a month for which you are reporting no fishing activity. Faxed reports are no longer
accepted. When additional forms or envelopes are needed, please include a note with your logbook submission or
call the Logbook Program at the number listed below. Include your name, address and your vessel identification
number. Alternatively, you can download forms from our website at http://www.sefsc.noaa.gov/fls.jsp . If you
have any questions regarding logbook reporting, please contact the Logbook Program at (305) 361-4581, or Matt
Maiello at 305-361-4574. If you have questions regarding HMS fisheries (regulations, permit requirements,
reporting, etc.), please call 301-713-2347 or visit http://www.nmfs.noaa.gov/sfa/hms/ .
Please use a separate set form for each set made (longline) or day of fishing activity (non-longline). If using
multiple gears per trip, a separate set form will be required for each gear type used during that day of fishing
activity. Please complete the required information listed below on each set form submitted:

• Official Vessel Number - Enter the official US Coast Guard documentation number or state registration
number for the vessel as it appears on the permit.
• Signature – The captain must sign each set form to verify accuracy of information.
• Target - Designate the primary Target species. (Note: multiple species may be checked.).
• Gear - Record the gear used for the set. Please note that when fishing with multiple gears, a separate form
must be used for each gear type. If gear is being used that is not fished in sets, one set form is required for
each day (or 24 hour period) of fishing activity. If the gear type you are using is not on the form, please
mark ‘Other’ and handwrite (list) the gear type in the space provided (ie. Greenstick gear).
• Begin Set Date – Enter the month and date that the set (longline) or fishing activity (non-longline) began.
• Begin Haulback Date – Enter the month and date that the longline haulback began.
Enter Times when using longline gear in the fields listed below (Note: Do not use military time):
-- Begin Set – Enter the time the set began. Designate AM or PM.
-- End Set – Enter the time when the set had been placed. Designate AM or PM.
-- Begin Haulback - Enter the time that haulback began. Designate AM or PM.
-- End Haulback - Enter the time when haulback of the gear had been completed.
1

When using non-longline gear, please indicate the time fishing began in the ‘Begin Set Time’ field. Indicate the
time fishing ended in the ‘End Haulback Time’ field.
• Latitude and Longitude – Record the location at the start of each set to the nearest degree and minute, and the
Surface Water Temperature, in degrees Fahrenheit.
• Enter the following data for each set if using pelagic or bottom Longline gear:
-Number of hooks per set
-Number of hooks between floats
-Number of light sticks
-Length of Mainline (in miles)
-Average Length of Gangions (in fathoms)
-Average Length of Floatline (in fathoms)
-Indicate whether “J” Hooks or Circle Hooks, or both were used
-Indicate what size hooks were used: 16/0, 18/0, or other size(s) (use space provided)
-Indicate whether offset hooks were used: Yes or No
-Indicate the Bait Type used: Dead, Live, or Artificial
-Indicate if the Bait Used was Squid, Mackerel, or ‘Other’
• Enter the following data for each set if using Hook and Line. This would include all hook and line gear (i.e.
handline, rod and reel, buoy gear, greenstick, etc.) except Pelagic Longline and Bottom Longline:
-Total Lines Fished is the total number of lines fished (not including drifts, redeployment or branch
lines).
-Total Hooks Fished is the total number of hooks fished (not including drifts or redeployment).
-Indicate whether “J” Hooks or Circle Hooks (or both) were used.
-Indicate what size hooks were used on the space provided (ie. 7/0, 9/0, 11/0, etc.). You may list more
than one size when applicable.
-Number of Buoy Gears deployed (if applicable) refers to the number of buoy gear configurations, or
units, deployed (not including drifts or redeployment).
-Indicate the Bait Type used: Dead, Live, or Artificial
-Indicate if the Bait Used was Squid, Mackerel, or ‘Other’
• Record numbers of SWORDFISH and TUNA, SHARKS, AND ‘OTHER SPECIES’ KEPT AND
THROWN BACK. Write down the numbers of fish that were kept (No. Kept) for each species. For the fish
that were thrown back, please specify the number that were released Alive and the number that were released
Dead. For Est. Lbs Kept, write down the estimated dressed weight of fish kept for each species. For catches
of species not listed on the form, print the species name in the blank spaces provided and record the requested
catch information.
• Record numbers of PROTECTED SPECIES involved with the fishing gear:
-Total Number Involved. Write down the total number of each protected species that were hooked
and/or entangled with the fishing gear for the period of the report.
-Number Injured. Write down the number of individuals of each protected species that was hooked
or otherwise injured by the fishing gear.
-Number Dead. Write down the number of individuals of each protected species that was dead or
unresponsive as a result of being caught or impacted by the fishing gear.
-If another species is encountered that is not listed, write the species name in the space provided.
Mail all set forms with the corresponding
Trip Summary form and tally sheet(s) within 7 days after the last offloading date to
NATIONAL MARINE FISHERIES SERVICE,
P.O. BOX 491740,
MIAMI, FL, 33149.
Retain the yellow copy of set forms for your records.
PAPERWORK REDUCTION ACT STATEMENT: Atlantic highly migratory species vessel logbooks provide information on fishing effort, target
catch and bycatch in the fisheries for tunas, sharks and swordfish. This information is the basis for quota monitoring and stock assessment and is used
to meet international obligations to report fishery statistics to the International Commission for the Conservation of Atlantic Tunas. Public reporting
burden for this information collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining data
needed, and completed & reviewing the collection of information, is estimated to average: 12 minutes per response for the set form (daily report); 30
minutes per response for the trip expense and earnings summary; 2 minutes per response for the no-fishing report; and 30 minutes per response for the
annual expenditures form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden to: Highly Migratory Species Management Division, National Marine Fisheries Service, F/SF1, 1315 East West Highway,
Silver Spring, MD 20910. Providing the requested information in the vessel logbook is mandatory, if selected, and is necessary for managing the
Atlantic highly migratory species fisheries in accordance with the Atlantic Tunas Convention Act (16 U.S.C. 971 et seq.) and the Magnuson-Stevens
Fishery Conservation and Management Act (16 U.S.C. 1801 et seq.). In accordance with NOAA Administrative Order 216-100, it is agency policy not
to release confidential fisheries statistics, other than in aggregate form. Notwithstanding any other provision of the law, no person is required to
respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the
Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number.

2

2014 ATLANTIC HIGHLY MIGRATORY SPECIES LOGBOOK - Set Form
Please Use Black or Blue Ink only
Official Vessel Number:

Date 13/31/2018

NOAA Form 88-191 Version Date 07/13

Signature: __________________________
I certify that the information contained on this form is
accurate and complete to the best of my knowledge.

TARGET:

OMB Control No. 0648-0371 Expiration

Swordfish

Yellowfin

Bigeye

Mixed Tuna

NMFS Use
Only:

Sharks

Dolphin

Other (list)

GEAR SECTION NOTE: If fishing multiple gears, use separate forms for each gear type (See instructions).
GEAR:
Pelagic Longline
Bottom Longline
Handline
Harpoon
Gillnet, Drift
Rod & Reel

Bandit

Otter Trawl

Squid Trawl

Set:

2014

Latitude at beginning of set:

am

:

Longitude at beginning of set:

End Set Time:

Deg

am

pm

Date Received:

ºF
USE SEPARATE FORMS
FOR EACH TYPE OF GEAR

HOOK & LINE:
Use whole numbers only.
No. Buoy
Total Lines
Gears
Fished
Deployed
Total Hooks
Fished
Type? List Size(s) Bait:
Dead
Live
Type:
"J"
Artificial
Squid
Other
Used:
Circle
Mackerel

SHARKS

SWORDFISH and TUNA
Dead

pm

If the Longline
Haulback took
more than
24 hours, then
check here:

(NMFS Use Only)

.

LONGLINE:

Alive

:

pm

Surface Water Temp:

Min

No. Thrown Back

am

End Haulback Time:

Please do not use decimals or ranges. Use whole numbers only.
Number of:
Length of:
Bait Type:
Hook:
Dead
Mainline
Type?
Hooks
Live
(nm)
Circle
"J"
Artificial
Average
Hooks
Size?
Bait Used:
Other
Gangion (fm)
between Floats
16/0 18/0
size
Squid
Offset?
Average
Mackerel
Light
Floatline (fm)
Sticks
Other
Yes
No

No.
Kept

:

pm

am

West

North
Min

Other (list)

Begin Haulback Time:

Begin Haulback Date:

Deg

:

2014

Haulback:

Buoy

Begin Set Time:

Begin Set Date:

Gillnet, Other

Est. Lbs.
Kept

No.
Kept

No. Thrown Back
Dead

Alive

Est.Lbs
Kept

PELAGIC SHARK

Swordfish
Bonito Tuna

Blue

Bluefin Tuna

Mako, Longfin

Skipjack Tuna

Mako, Shortfin

Yellowfin Tuna

Oceanic Whitetip

Blackfin Tuna

Porbeagle

Albacore Tuna

Thresher, Bigeye

Bigeye Tuna

Thresher, Common

OTHER SPECIES

COASTAL SHARK

White Marlin

Bignose

Blue Marlin

Blacktip

Sailfish

Dusky

Spearfish

White

Escolar

Hammerhead

Dolphin (Mahi)

Night

Wahoo

Sandbar

King Mackerel

Sharpnose

Greater Amberjack

Silky

Banded Rudderfish

Spinner
Tiger

PROTECTED SPECIES
Involved

Injured

Dead

Involved

Leatherback

Pilot Whale

Loggerhead

Risso's Dolphin

Sm. tooth Sawfish

Other
Species:

KEEP THIS COPY FOR YOUR RECORDS

Injured

Dead

UNITED STATES DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMIN.
NATIONAL MARINE FISHERIES SERVICE

2014
TRIP SUMMARY FORMS

FISHING VESSEL LOGBOOK RECORD
ATLANTIC HIGHLY MIGRATORY SPECIES
FISHERIES

YOU ARE ADVISED THAT DISCLOSURE OF THE INFORMATION
REQUESTED IN THIS REPORT IS MANDATORY FOR THE PURPOSE OF
MANAGING THE FISHERIES IN ACCORDANCE WITH THE ATLANTIC
TUNAS CONVENTION ACT (16 U.S. 971 ET. SEQ.) AND THE FISHERY
CONSERVATION AND MANAGEMENT ACT OF 1976 (16 U.S.C. 1801 ET.
SEQ.). FAILURE TO REPORT MAY RESULT IN CIVIL OR CRIMINAL
SANCTIONS.

NAME OF VESSEL :
___________________________________________________________________________
PERMIT NUMBER :
___________________________________________________________________________

NOAA FORM 88-191

OMB Control NO. 0648-0371
(Revised 07-13)

Expiration Date 03/31/2018

Instructions for the Trip Summary form
NOTE: All data provided are CONFIDENTIAL and will be used to determine the effects of existing and
proposed management policies on fishery participants. Consistent and accurate reporting is critical for
achieving the benefits of conservation and management of Atlantic Highly Migratory Species fisheries.

Please print all requested information clearly. A form with incomplete or unclear information may delay
processing and will not be credited towards your compliance. This lack of compliance may result in
your permit renewal being denied. Monthly reporting for individuals holding a Swordfish and
Shark permit will be considered complete and in compliance with the regulations only if: 1.) A
Trip Summary is completed for each trip made, 2.) individual Set forms are completed for each set made
during a trip (longline) or 24 hour period of fishing activity (non-longline), 3.) Tally Records (individual
dressed weights) for all fish sold are provided for each trip made; or 4.) a “No Fishing” reporting form is
provided when no fishing occurred during a calendar month.
If a permitted vessel did NOT fish during a calendar month, a No Fishing Reporting Form must be
completed. No Fishing Reporting Forms are located in the back of the Trip Summary Logbook, behind
the trip report forms. Please note the following for No Fish Reports:
• A separate form must be completed for each month that no fishing occurred;
• Please do not submit one form for multiple months.
• Do not submit more than one form for each month.
• Put a check by each permit to indicate the fishery in which no fishing occurred.
• Multiple fisheries can be reported on one form.
• Do not check fisheries for which you do NOT have a permit.
Please mail original set forms, along with the original Trip Summary Form and original weigh out
slips (tally records), or a No Fishing Reporting Form in the pre-addressed envelopes provided. The
address is as follows:
National Marine Fisheries Service
Logbook Program
P.O. Box 491740
Key Biscayne, Florida 33149-9915
Logbook reports should be postmarked no later than the 7th day after offloading all Atlantic Highly
Migratory Species, or (7) days after the end of a month which you are reporting no fishing activity.
Faxed reports are no longer accepted.

The following instructions should be followed when Fishing was conducted during a calendar
month:
The Trip Summary Form is a continuation of the set form and is mandatory for all permitted vessels.
Please use a ballpoint pen and print clearly to record the following on the Trip Summary Form
(Blue Page):
• Vessel Name and Vessel Number: U.S. Coast Guard vessel identification number or state
registration number as recorded on permit.
• Contact Name, Telephone Number, and Signature: Printed name, telephone number, and
signature of the person completing the form (normally, this would be the captain for the trip,
although the vessel owner may complete the Trip Summary and Trip Expense and Payment
Summary form).
• Operator Name: Name of the operator (captain) of the vessel for the trip.
• NHID Number: Please put the NHID Number of the operator for the trip. The NHID Number is a
unique identifier (“New Hampshire Identifier”) assigned by NMFS to each shark and swordfish
limited access permit holder and vessel operator who uses longline or gillnet gear and has attended
the “Protected Species Release, Disentanglement and Identification Workshop.”
• Port & State of Departure: Location of port from which the trip commenced.
• Port & State of Landing: Location of port that vessel arrived in.
• Dealer Name(s): List of names of dealers purchasing the harvest. If the catch was not sold to a
dealer, please write in ‘PERSONAL USE.’ If there was no catch, please write in ‘NO CATCH.’
• State Trip Ticket #: For states with trip ticket programs, include the ticket # from your sales receipt
next to the appropriate dealer name.

•
•
•
•
•
•
•

Date of Departure: Calendar date (month/day) on which the trip was started. Use current year
logbooks only.
Date of First Set: Calendar date (month/day) of first set made on trip.
Date of Last Set: Calendar date (month/day) of last set made on trip.
Date of Landing: Calendar date (month/day) the vessel arrived back at port. This can be different
from the offloading date.
First Date of Offload: Calendar date (month/day) that vessel began offloading fish. Use current
year logbooks only.
Number of Sets: Number of times the fishing gear was set out during the trip.
Number of Crew Members: Number of persons paid as crew (excluding captain).

Remove the blue page, attach corresponding set forms and tally sheet(s), and mail within 7 days after
last offloading date. Faxes are no longer accepted

The Green Page (Trip Expense and Payment Summary) is mandatory only if your vessel has been
selected by the Highly Migratory Species (HMS) Management Division and you have been
notified in writing by NOAA Fisheries Service that this information is required of you. The
form is voluntary for all other vessels. However, non-selected vessels are encouraged to supply
this information. For selected vessels, the following information must be mailed within 30 days after
last offloading date. Faxes are not accepted:
• Fuel: Price per gallon paid for fuel used during trip. (If you did not refuel for the trip, record price
paid when fuel was last purchased.); indicate gallons actually used during the trip. (Exclude fuel
purchased but not used.)
• Bait: Record price per pound and the amount of bait purchased. If no bait is purchased, then record
a zero.
• Light Sticks: Record price per light stick and number of light sticks used during the trip (If a light
stick was re-used, only count it once.)
• Ice: Indicate the price per unit. Also indicate the Quantity of Ice purchased and circle the correct
unit size.
• Ice Maker: Indicate if an ice maker is used on the vessel by marking ‘Yes’ or ‘No.’
• Grocery expenses: Indicate grocery costs (food, toiletries, etc.).
• Other Trip Costs: Other costs incurred for this trip form (for example, docking/offloading fees (if
separate from broker fee), crew travel/lodging, fishing supplies). Exclude items listed elsewhere on
this trip summary.
• Total Trip Sales: Record the amount of gross revenue received from dealer(s) for the fish sold
during the trip.
• Crew Shares: Crew share is compensation based upon percentage of net revenues. If you did not
use crew share compensation on a trip, then calculate payments as percentage of (estimated) gross
revenues (i.e., Total Trip Sales). The sum of the Owner Share, Captain Share, and Crew Share
Average times the number of crew members, should total 100%.
• Owner Share: Percentage of net revenue (gross revenue less total shared costs) paid to owner.
• Captain Share: Percentage of net revenue paid to captain.
• Crew Share: Average percent share of net revenue paid to crew, excluding captain.
• Was Crew Share Compensation Used: Indicate ‘yes’ or ‘no’.
• Was the Owner on Board: Indicate ‘yes’ or ‘no’.
Total Shared Costs: Record the sum of all costs incurred for this trip that are subtracted from gross
revenues (i.e., Total Trip Sales) prior to calculating crew share payments, including (estimated) shared
gear, repair and maintenance costs. If vessel does not use crew shares, record zero.
PAPERWORK REDUCTION ACT STATEMENT: Atlantic highly migratory species (HMS) vessel logbooks provide information on
fishing effort, target catch and bycatch in the fisheries for tunas, sharks and swordfish. This is the basis for quota monitoring and stock
assessment and is used to meet international obligations to report fishery statistics to the International Commission for the Conservation of
Atlantic Tunas. Collection of economic information through vessel logbooks provides current data on costs and earnings for vessels
participating in the Atlantic HMS fisheries and aids NMFS in assessment of impacts of fishery regulations. Public reporting burden for this
information collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining data, and
reviewing completed collection of information, is estimated to average: 12 minutes per response for set form (daily report); 30 minutes per
response for the trip expense and earnings summary; 2 minutes per response for no-fishing report; and 30 minutes per response for annual
expenditures form. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions
for reducing this burden to: National Marine Fisheries Service, F/SF1, 1315 East West Highway, Silver Spring MD 20910. Providing
requested information on the trip summary form is mandatory, if selected, for managing the Atlantic HMS fisheries in accordance with
Atlantic Tunas Convention Act (16 U.S.C. 971 et seq.) and Magnuson-Stevens Fishery Conservation and Management Act (16 U.S.C.
1801 et seq.). In accordance with NOAA Administrative Order 216-100, it is agency policy not to release confidential information, other
than in aggregate form. Notwithstanding any other provision of law, no person is required to respond, nor shall any person be subject to a
penalty for failure to comply with information collection subject to requirements of Paperwork Reduction Act, unless that collection of
information displays a currently valid OMB Control Number.

2014 ATLANTIC HIGHLY MIGRATORY SPECIES LOGBOOK
TRIP SUMMARY FORM

Date 03/31/2018
NOAA Form 88-191 Version Date 07/13

Received Date:

NMFS Use
Only:

Please Use Blue or Black Ink only

OMB Control No. 0648-0371 Expiration

Vessel Name:

Schedule Number:

Vessel Number:
Month

Contact Name
(Please Print):

Contact Phone No.: (

)

-

I certify that the information contained on this form is accurate
and complete to the best of my knowledge.

Contact's Signature:
Operator's Name
(Please Print):

Day

Year

Date of Departure:

2014

Date of First Set:

2014

Date of Last Set:

2014

Date of Landing:

2014

Date of Offload:

2014

NHID Number:

Number of Sets:

Port & State of Departure:

Number of Crew Members:
(excluding captain)

Port & State of Landing:

Dealer Name(s):

State Trip Ticket Number(s):

1.)

1.)

2.)

2.)

3.)

3.)

TRIP EXPENSE & PAYMENT SUMMARY (Mandatory if selected; otherwise voluntary)
Quantities Used (Whole numbers only)

Unit Cost

Fuel

Price per Gallon

$

.

Gallons Used

Bait

Price per Pound

$

.

Pounds of Bait
(Dead, Frozen)

Light Sticks

Price per Stick

$

.

Light Sticks Used

Price per Unit

Ice
Ice Maker

.

$

Yes

Please circle one:

Quantity
of Ice

Tons Blocks Lbs

No

$

Grocery Expenses
Other Trip Costs (Other costs incurred on this trip, excluding items
listed elsewhere on this trip summary form. See instructions.)

Total Trip Sales

.

$

.

.

$
Percent Share

Crew Shares:

Owner:

%

Captain:

%

Crew:

%

Was crew share
compensation used?

Yes

No

Was the owner on board?

Yes

No

Total Shared Costs (Includes only those costs subtracted from
gross revenues to calculate crew payments. See instructions.)

$

.

USE THIS COPY FOR SENDING IN THE TRIP EXPENSE REPORT.
MAIL TO NATIONAL MARINE FISHERIES SERVICE, P.O. BOX 491740, MIAMI, FL, 33149

2014 ATLANTIC HIGHLY MIGRATORY SPECIES LOGBOOK
TRIP SUMMARY FORM
Please Use Blue or Black Ink only

NMFS Use
Only:

OMB Control No. 0648-0371 Expiration
Date 03/31/2018
NOAA Form 88-191 Version Date 07/13

Received Date:

Schedule Number:

Vessel Number:

Vessel Name:

Month

Contact Name
(Please Print):

Contact Phone No.: (

)

-

I certify that the information contained on this form is accurate
and complete to the best of my knowledge.

Contact's Signature:
Operator's Name
(Please Print):

NHID Number:
Port & State of Departure:

Day

Year

Date of Departure:

2014

Date of First Set:

2014

Date of Last Set:

2014

Date of Landing:

2014

Date of Offload:

2014

Number of Sets:
Number of Crew Members:
(excluding captain)

Port & State of Landing:

Dealer Name(s):

State Trip Ticket Number(s):

1.)

1.)

2.)

2.)

3.)

3.)

MAIL TO NATIONAL MARINE FISHERIES SERVICE, P.O. BOX 491740, MIAMI, FL, 33149


File Typeapplication/pdf
File TitleUNITED STATES DEPARTMENT OF COMMERCE
AuthorHBALCHOW
File Modified2017-10-04
File Created2014-05-12

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