COFR Forms
Liability limits were recently amended in Title VI of the Coast Guard and Maritime Transportation Act of 2006, which will result in changes to the requirements for proof of financial responsiblity found in the existing "Financial Responsibility for Water Pollution (Vessels)" regulations at 33 CFR part 138. The applicable COFR forms will be updated with the amended limits when the revised regulations become effective. Read more...
| Form Number |
Title/Long Name |
Users |
Description |
| CG 5585 |
COFR Application |
Vessel Owners & Operators |
Use this form to apply for a Certificate of Financial Responsibility (COFR). You may also apply for a COFR electronically through the E-COFR system. |
CG 5586
(50 KB PDF) |
Insurance Guaranty |
Insurers/
Guarantors |
Vessel owners & operators should ask their insurers to complete this form to show that they have adequate insurance to meet the applicable liability limits when applying for a COFR. |
CG 5586-1
(50 KB PDF)
|
Master Insurance Guaranty |
Insurers/
Guarantors |
Vessel builders, repairers, scrappers, lessors, and sellers should ask their insurers to complete this form to show that they have adequate insurance to meet the applicable liability limits when applying for a Master Certificate. |
CG 5586-2
(75 KB PDF)
|
Surety Bond Guaranty |
Insurers/
Guarantors |
Vessel owners & operators should ask their insurers to complete this form to show that they have adequate surety bonds to meet the applicable liability limits when applying for a COFR. |
CG 5586-3
(50 KB PDF)
|
Financial Guaranty |
Vessel Owners & Operators, COFR Guarantors |
Complete this form to show that you have adequate working capital and net worth to be self-insured to meet the applicable liability limits when applying for a COFR. |
CG 5586-4
(50 KB PDF)
|
Master Financial Guaranty |
Insurers/
Guarantors |
Vessel builders, repairers, scrappers, lessors, and sellersshould ask their insurers to complete this form to show that they have adequate working capital and net worth to be self-insured to meet the applicable liability limits when applying for a Master Certificate. |
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Spill Response Funding Forms
| Form Number |
Title/Long Name |
Users |
Description |
CG NPFC-CM01
(350 KB PDF) |
FOSC Financial Management Checklist |
FOSCs |
Follow this step-by-step guidance when using
the OSLTF Emergency Fund or CERCLA/Superfund and monitoring cost documentation
during a response. |
| IRAT |
Pollution Incident Report and Transmittal Form |
FOSCs |
Use as the cover to the project's Final Financial Report. |
| CG
5136 |
Pollution Incident Daily Resource Report |
Spill Responders, including FOSCs, Government Agencies, & OSROs |
Use these forms to document oil spill incidents
and expenditures. |
| PRFA
Forms |
Pollution Removal Funding Authorizations |
FOSCs & Government Agencies |
Use the Pollution Response Funding Authorization
(PRFA) forms to quickly obtain needed services from other government
agencies in oil spill and hazardous materials response actions. |
|
SF1080 & SF1081 |
Voucher for Transfers between Appropriations and/or Funds |
Government Agencies |
Use the Vouchers for Transfers to request
reimbursement from the Coast Guard for funds expended during oil spill
removal. |
| CG NPFC-CM02 |
Case/Cost Documentation Checklist FPNs & CPNs |
FOSCs |
Use checklist to help collect, prepare, and finalize cost documentation packages for submission to the NPFC. |
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Claims Forms
| Form Number |
Title/Long Name |
Users |
Description |
CG NPFC-CA1
(100 KB PDF) |
Optional OSLTF Claim Form |
Anyone injured by
an oil spill |
Provides format for submitting damage or removal cost claims to the NPFC. Use of form isn't required, but all claims must contain the information listed on the form. |
NRD IAG
(400 KB PDF) |
Interagency Agreement to
Initiate Natural Resource
Damage Assessment |
Federal Lead Administrative Trustees |
Federal Lead Administrative Trustees
(FLATs) complete this form to request funding to initiate natural resource
damage assessments for an oil spill. |
CG NPFC-CN01 &
CG NPFC-CN02
|
Quarterly Cost Documentation Report & Quarterly Progress Report |
Federal Lead Administrative Trustees &
Natural Resource Trustees |
Federal Lead Administrative Trustees
(FLATs) compile cost documentation from all trustees and submit them along with a progress report to the NPFC on a quarterly basis or, for claims submitted for reimbursement, when the claim is submitted to the NPFC. Use of forms isn't required, but all claims must contain the information listed on the forms. |
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