Highly Migratory Species Observer Notification Form

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Reef Fish - Observer FAX Notification Form
This form is provided for your response. Please complete and return this form at least 48 hours prior to your estimated departure.  The information can be mailed to: NOAA/NMFS, Galveston Laboratory, 4700 Avenue U, Galveston, TX 77551 or Faxed to (409-766-3489); ATTN: MIKE HARRELSON, PAT CRYER, JEFF PULVER and/or MATT DUFFY.  If the vessel is not fishing or is involved in another fishery during the selection period, please state in the comment section of this form which fishery and gear used (include contact number).
Captain's Name: _______________________________ Vessel Name: ____________________________
Documentation/Vessel Number: _______________________________ Overall Length: __________ (ft)
Crew Size: _______ (include skipper)	Bunk Capacity: _________	Life Raft Capacity: __________

Contact Person/Telephone Number(s): _____________________________________________________

Vessel Fishing Status:
Port of Departure:
Dock Facility: _________________________________________________________________________  
Street: _______________________________________________________________________________
City: ___________________________	State: _____	Phone Number: (        ) _______-____________ Departure Date: ___/___/___	Time: ___:___ (AM or PM)	Anticipated Landing Date: ___/___/___

Expected Landing Port: (if different from port of departure)
Dock Facility: _________________________________________________________________________
Street: _______________________________________________________________________________
City: ____________________________	State: ______	Phone Number: (        ) ______-_____________
Primary Language: (if other than English) ________________________
Comments:  __________________________________________________________________________
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