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International Marine Accident
Reporting Form
Please print this form, then complete and post or fax to:
MARS Editor – Confidential
The Nautical Institute
202 Lambeth Road
London
SE1 7LQ, UK
Fax +44 (0)20 7401 2817
MARS@nautinst.org
| Name | Ship Type |
| Rank/Occupation | GRT |
| Contact Address |
No. Officers |
| No. Crew | |
| Flag | |
| Tel |
| THE VOYAGE | THE INCIDENT |
| Date | Time (local/GMT) |
| From | Day/Night |
| To | Location |
| Weather |
We guarantee no record of your name or ship will be kept.
| Please write or type your report here, using copies of the Continuation Form as required. |