APPLICATION FOR VESSEL SEAWAY NO.
PRE-CLEARANCE
Number will be assigned
PART A - REGISTRATION
1. Registration of Vessel:
Name: Country of Registry:
Port: Imo No.
2. Insurance: (Liability insurance must be equal to or exceed $ 100 per gross registered ton)
Amount of liability insurance coverage on the vessel (P & I):
Names of underwriters:
Names and addresses of Canadian or U.S.P. & I representative:
3. Representative responsible for payment of tolls and charges:
Company Name:
Address:
Telephone No.: Fax no: E-mail:
4. Certificate of Guarantee: (see bottom of page)
This Certificate shall be good and binding:
A) until either party (the Customer or the Corporation) advises the other of its intention to cancel this contracts. This advice must be submitted in writing
either by regular mail, fax or e-mail. check if applicable
< OR >
B) for the following voyage: Expected date of arrival:
Dated at this day of year
(Signature of authorized officer)
NOTE: Approval of this application does not constitute acceptance of the fact that the vessel is in a condition satisfactory for transit.
PART 11 – INFORMATION ON VESSEL
The furnishing of inaccurate information is a violation of seaway regulations
1. Managing Owner or Operator of the Vessel:
Name of Company:
Address:
2. Type of Vessel: (please indicate applicable type)
CARGO TANKER PASSENGER ONLY CARGO / PASSENGER TANK BARGE NAVAL (military)
UNDER TOW DREDGE SCOW BARGE (non-cargo) TUG OTHER (specify)
GOVERNMENT COAST GUARD PLEASURE CRAFT SEAWAY VESSELS CARGO BARGE
3. Type of Service: Inland Ocean
4. Specifications: NOTE: It is of the utmost importance to furnish the precise overall length of vessels
in order that Traffic Controllers may arrange lockages accordingly.
Gross tons: Extreme breadth:
Length (overall): Moulded depth:
RETURN TO:
THE ST. LAWRENCE SEAWAY MANAGEMENT CORPORATION Tel (450) 672-4110 ext. 2379
151 ECLUSE STREET, ST-LAMBERT (QUEBEC) CANADA Fax (450) 672-2404
J4R 2V6 ATTENTION: PRE-CLEARANCE DEPT. E-mail tolls@seaway.ca
This form is also available on our Web site at http://www.greatlakes-seaway.com/en/commercial/transiting/preclearance.html
Certificate of Guarantee
The signing officer hereby accepts responsibility for the carrying out of the obligations of the representative pursuant to seaway Regulations,
including the accurate completion of Part II hereof, and hereby undertakes to make payment of all monies that may become due by this vessel
for tolls and charges during the full term of this certificate, which undertaking will remain in force not-withstanding the earlier expiration of this
certificate. The signing officer also agrees that security for the payment of tolls, which may be provided by him/her during the currency of the
certificate, shall be subject to summary forfeiture in the event of non-compliance by him/her with requirements relating to the payment of tolls
and charges.
SLSMC.327
