AMSA 350 CLC

Application for certificate of insurance – civil liability convention (oil tankers)


Overview

You can use this form to apply for a Certificate of Insurance (COI) – civil liability convention (oil tankers).

How to complete this form

Your personal and ownership details MUST be identical on this form, the P&I Club Blue Card and the vessel’s registration on the AGSR to avoid delays in processing your application.
  • Ensure that details on the application form are consistent with the blue card (for example, address details, ownership details and ports of registry).     
  • Charter details as well as ownership details should be listed on both the application and the blue card.
  • A fee of A$70 is payable for the issue of a first certificate or, in the case of certificate renewal, when substantial changes are made.
  • A fee of A$40 is payable on annual renewal of the certificate where existing insurance arrangements continue, or are not substantially changed.
  • Please complete the application form using the explanatory notes on the right hand side of each page.
 

Submitting the form

You can submit this application by email or post to:

Flag Certification Coordinator
Ship Inspections
Australian Maritime Safety Authority
GPO Box 2181 Canberra City 2601
Ph (02) 6279 5000
Email: opsadmin@amsa.gov.au

Last updated: 8 August 2023