Orolia SAFELINK1 SafeLink Distress Beacon User Manual Microsoft PowerPoint Web Form EPRIB

Orolia S.A.S. SafeLink Distress Beacon Microsoft PowerPoint Web Form EPRIB

Contents

Manual 3

Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Owner/Operator Information
Name______________________________________________
Mailing Address ______________________________________
___________________________________________________
City _____________________ State/Province _____________
ZIP (Postal) Code __________ Country ___________________
E-mail ______________________________________________
(Last, First, Middle Initial)
Official 406 MHz EPIRB Registration Form
Category I (Automatic Deployment)
Category II (Manual Deployment)
EPIRB Information
Beacon ID (Unique Identifier Number)
(15 digit character ID provided by EPIRB manufacturer)
Vessel Information
Mail or Fax to:
NOAA/SARSAT
NSOF, E/SP3
4231 Suitland Road
Suitland, MD 20746
Fax No. 301-817-4565
If you have any questions about this form or with EPIRB registration in general, please call 1-888-212-SAVE (7283) or 301-817-4515.
For information on the U.S. Search & Rescue Satellite-Aided Tracking system, please visit: www.sarsat.noaa.gov
EPIRB Information
EPIRB Registration
New EPIRB Registration Replacement of EPIRB Decal
Renewal of EPIRB Registration Check here if this EPIRB is a replacement for a previously registered EPIRB.
Change of EPIRB Information or Ownership Please enter the old EPIRB unique ID number ________________________
Crew and Passengers
Marina/Dock
Usage:
Commercial Non-commercial
Government Military Government Non-military
Type
Sail: Number of Masts ____________________
Power:
Fishing Tug Cargo Tanker Pleasure Craft
Other ____________________
Non-power:
Life Boat Life Raft Other__________________
Vessel Name _____________________________________
Vessel Color____________
Survival Craft(s) on Vessel: Life Boat
_____
Life Raft
_____
Is your EPIRB equipped with a Simplified Voyage
Data Recorder (SVDR)?
Radio Equipment
(Check all that apply)
VHF MF HF SSB Other ___________________
Vessel Telephone Numbers
Radio Call Sign ______________INMARSAT _____________________
Cellular ____________________ MMSI Number ___________________
Federal / State Registration Number __________________
Length Overall (ft) ____________Capacity _____________
Homeport ________________________________________
________________________ ________________________
Additional Data ___________________________________
_________________________________________________
No. of
City State
Emergency Contact Information
(Please indicate someone other than the owner)
Name of Primary 24-Hour Emergency Contact: Name of Alternate 24-Hour Emergency Contact:
__________________________________________________ ________________________________________________
EPIRB Manufacturer __________________________________
Model No. ________________________________________
Signature __________________________________________ Date ____________________________________________
Save Time! Register your beacon online at: www.beaconregistration.noaa.gov
No. of
Yes No
OMB Auth. (0648-0295) Expires: 30JUN2011
Important Notice - Please Read Before Completing Registration
Registration is an important facet for all Cospas-Sarsat 406 MHz emergency beacons. Not only is it required by Federal
Regulations but the information you furnish is used by Search And Rescue (SAR) agencies in the event of beacon
activation. The registration information is an important tool to assist the United States Coast Guard, United States Air
Force, and other SAR agencies in locating and quickly responding to you, your vessel, or your aircraft. Failure to register
your beacon may delay a rescue response. Accurate, up-to-date registration information will also be used to conserve
resources by helping to eliminate false alert deployments, as an inadvertent activation can be resolved with a phone call.
There is no charge for beacon registration. This is a service provided by the U.S. National Oceanic and
Atmospheric Administration (NOAA).
All online registrations will be entered into the National 406 MHz Beacon Registration Database on the same day of entry.
Registration forms received via postal mail will be entered within 2 business days of receipt. For online registrations, a
confirmation letter with your completed registration information form will be sent immediately via e-mail or fax (if provided).
Confirmation letters sent via postal mail should arrive within two weeks. Once your registration confirmation is received,
please review all information. Any changes or updates to your registration information can be done via the internet, fax,
e-mail or postal mail. If you do not receive your registration confirmation from NOAA on the same day you submit it over
the internet or within two weeks if you submit it by postal mail, please call NOAA toll-free at: 1-888-212-SAVE (7283) or
301-817-4515 for assistance.
After initial registration (or re-registration) you will receive a NOAA Proof of Registration Decal by postal mail. This decal is
to be affixed to the beacon and should be placed in such a way that it is clearly visible. If for some reason you do not
receive the registration decal within two weeks, please call NOAA toll-free at: 1-888-212-SAVE (7283) or 301-817-4515.
Failure to register, re-register (as required every two years), or to notify NOAA of any changes to the status of your
406 MHz beacon could result in penalties and/or fines being issued under Federal Law. The owner or user of the beacon is
required to notify NOAA of any changes to the registration information at any time. By submitting this registration the owner,
operator, or legally authorized agent declares under penalty of law that all information in the registration information is true,
accurate, and complete. Providing information that is knowingly false or inaccurate may be punishable under Federal
Statutes. Solicitation of this information is authorized by Title 47,Part 80 of the U.S. Code of Federal Regulations (CFR) and
the U.S. Office of Management & Budget (OMB) Control Number: 0648-0295. Additional registration forms can be found on
the NOAA-SARSAT website at: www.sarsat.noaa.gov or at: www.beaconregistration.noaa.gov.
Please note, NOAA will complement or update your registration information accordingly if your registration has expired
and credible information is provided from SAR sources. NOAA will also seek information from other databases to update
and/or complement the existing information for an expired beacon registration. Although the information provided will
become a matter of public record, there is no intent to circulate beyond its intended purpose, i.e., to assist SAR agencies in
carrying out their mission. Public reporting burden for the collection of this information is estimated to average 15 minutes
per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing
the collection of information. Comments regarding this burden or any other aspect of this collection of information, including
suggestions for reducing this burden should be sent to:
NOAA/SARSAT
NSOF, E/SP3
4231 Suitland Road
Suitland, MD 20746
Or call: 1-888-212-SAVE (7283) or 301-817-4515
Finally, false alerts remain a chief concern for SAR agencies. We ask that you carefully refer to the beacon’s user manual
for instructions on properly operating, installing, testing, performing required maintenance, and/or stowage of your beacon.
We find that these are important factors in reducing the number of false alerts. Please use the utmost care at all times!

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