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Safety Check Request

Vessel Safety Check Request Form

 Quick Links: 
Boating Safety Courses
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 Please note this form is for the Greater Portland, Maine and surrounding community areas. If you want a vessel safety check and you are not from these areas you should make your request at this link:

If you are from the Greater Portland area and surrounding community areas please fill our the form below if you would like someone to contact you to set up a time  for a Free Vessel Safety Check.

Tell us how to get in touch with you:

*E-mail Address:      
*Telephone No.:


                Enter Phone Number as XXX-XXX-XXXX Dash (-) is required

          *= Indicates Required Fields

Add any additional information here.

I'm not a Robot Please type in box; Cb2-1  



You should receive a conformation page after you click on the Submit Form button that will have a link back the Member's Home page.

 If you entered your email address correctly you should get an email copy of what you sent.

Your questions and comments will be processed as soon as possible. As with any volunteer organization, some delay may be expected.  

 If you have Problems with this form please contact:

 FSO/CS 2-1 
for help.


Thank you
Web Manager