Australian Maritime Safety Authority

Forms — Domestic Vessels, Operations and Seafarers

Applications and forms for the National System

All completed forms along with any supporting documentation, should be lodged with a marine safety agency.

Product Form name Document number


Application for Certificate of Survey for a Domestic Commercial Vessel

AMSA 521 [Microsoft Word Icon DOC: 213Kb]
AMSA 521
[PDF Icon PDF: 54Kb]

Application for Approval of a New Scheme Non Survey (NS) Vessel

AMSA 579 [Microsoft Word Icon DOC: 211Kb]
AMSA 579
[PDF Icon PDF: 52Kb]

Request for Periodic Survey of a Domestic Commercial Vessel

AMSA 551 [Microsoft Word Icon DOC: 86Kb]
AMSA 551
[PDF Icon PDF: 34Kb]

Application for Equivalent Means of Compliance AMSA 649 [Microsoft Word Icon DOC: 142Kb]
AMSA 649 [PDF Icon PDF: 65Kb]
Application for a Unique Vessel Identifier AMSA 568 [Microsoft Word Icon DOC: 152Kb]
AMSA 568 [PDF Icon PDF: 615Kb]


Application for Certificate of Operation for a Domestic Commercial Vessel

AMSA 504 [Microsoft Word Icon DOC: 261Kb]
AMSA 504 [PDF Icon PDF: 46Kb]

Part E Assessment Aid
AMSA 829 [Microsoft Word Icon DOC: 167Kb]
AMSA 829 [PDF Icon PDF: 60Kb]


Application for a Certificate of Competency

AMSA 534 [Microsoft Word Icon DOC: 154Kb]
AMSA 534 [PDF Icon PDF: 67Kb]

Application for a Qualifying Sea Service Assessment

AMSA 560 [Microsoft Word Icon DOC: 109Kb]
AMSA 560 [PDF Icon PDF: 45Kb]

Eyesight Test Certificate

AMSA 542 [Microsoft Word Icon DOC: 93Kb]
AMSA 542 [PDF Icon PDF: 34Kb]

Self-declaration of Medical Fitness Form

AMSA 558 [Microsoft Word Icon DOC: 86Kb]
AMSA 558 [PDF Icon PDF: 38Kb]

Certificate of Medical Fitness for a Marine Qualification

Guidance Notice - Guidelines for the medical assessment of near coastal seafarers

AMSA 559 [Microsoft Word Icon DOC: 96Kb]
AMSA 559 [PDF Icon PDF: 62Kb]

AMSA 619 [PDF Icon PDF: 367Kb]

Record of Sea Service

AMSA 771 [PDF Icon PDF: 346Kb]

Trans-Tasman Notice of Registration

AMSA 887 [Microsoft Word Icon DOC: 139Kb]
AMSA 887 [PDF Icon PDF: 85Kb]

Exemption 38 Training and Assessment Criteria AMSA 508 [PDF Icon PDF: 279Kb]
Final Practical Assessment Record
AMSA 536 [Microsoft Word Icon DOC: 117Kb]
AMSA 536 [PDF Icon PDF: 68Kb]
Application for Approved Trainer Assessor AMSA 735 [Microsoft Word Icon DOC: 110Kb]
AMSA 735 [PDF Icon PDF: 85Kb]

Marine Incidents

Marine Incident Report Form

AMSA 529 [Microsoft Word Icon DOC: 507Kb]
AMSA 529 [PDF Icon PDF: 153Kb]


Notification of a Change to, or Replacement of, a Certificate

AMSA 539 [Microsoft Word Icon DOC: 105Kb]
AMSA 539 [PDF Icon PDF: 37Kb]

Application to Voluntarily Suspend, Revoke or Transfer a Certificate AMSA 600 [Microsoft Word Icon DOC: 78Kb]
AMSA 600 [PDF Icon PDF: 36Kb]

Notification of Change of Ownership

AMSA 582 [Microsoft Word Icon DOC: 53Kb]
AMSA 582 [PDF Icon PDF: 46Kb]

Miscellaneous Form

AMSA 758 [Microsoft Word Icon DOC: 71Kb]
AMSA 758 [PDF Icon PDF: 36Kb]

Commonwealth Statutory Declaration [Microsoft Word Icon DOC: 71Kb]
[PDF Icon PDF: 434Kb]

Accredited Marine Surveyor Complaint / Feedback

AMSA 630 [Microsoft Word Icon DOC: 118Kb]
AMSA 630 [PDF Icon PDF: 72Kb]

Internal Review

Application for Internal Review

AMSA 770 [Microsoft Word Icon DOC: 78Kb]
AMSA 770 [PDF Icon PDF: 40Kb]

Exemption Applications

Specific Exemption Application Form AMSA 547 [Microsoft Word Icon DOC: 90Kb]
AMSA 547 [PDF Icon PDF: 32Kb]

Exemption 04 - Recreational Use Exemption Application

AMSA 775 [Microsoft Word Icon DOC: 83Kb]
AMSA 775 [PDF Icon PDF: 83Kb]

Exemption 06 - Operate Outside Certificate of Survey Conditions Application

AMSA 776 [Microsoft Word Icon DOC: 77Kb]
AMSA 776 [PDF Icon PDF: 63Kb]

Exemption 07 - Temporary Operations Exemption Application

AMSA 777 [Microsoft Word Icon DOC: 75Kb]
AMSA 777 [PDF Icon PDF: 64Kb]

Exemption 08 - Temporary Service Exemption Application

AMSA 778 [Microsoft Word Icon DOC: 69Kb]
AMSA 778 [PDF Icon PDF: 66Kb]

Exemption 09 - Temporary Crewing Exemption Application

AMSA 779 [Microsoft Word Icon DOC: 103Kb]
AMSA 779 [PDF Icon PDF: 82Kb]

Exemption 13 - Sightseeing Exemption Application

AMSA 791 [Microsoft Word Icon DOC: 77Kb]
AMSA 791 [PDF Icon PDF: 65Kb]

Exemption 14 – Sea Rangers Exemption Application AMSA 618 [Microsoft Word Icon DOC: 77Kb]
AMSA 618 [PDF Icon PDF: 63Kb]

Exemption 21 - Vehicular Ferry-in-chains Exemption Application

AMSA 787 [Microsoft Word Icon DOC: 73Kb]
AMSA 787 [PDF Icon PDF: 65Kb]

Exemption 22 - Bareboats Exemption Application

AMSA 789 [Microsoft Word Icon DOC: 70Kb]
AMSA 789 [PDF Icon PDF: 64Kb]

Exemption 24 - Emergency Service Vessels Exemption Application

AMSA 792 [Microsoft Word Icon DOC: 75Kb]
AMSA 792 [PDF Icon PDF: 62Kb]

Exemption 40 – Class C Restricted Operations AMSA 523 [Microsoft Word Icon DOC: 106Kb]
AMSA 523 [PDF Icon PDF: 46b]

Compliance and Enforcement

Prohibition Notice Declaration

AMSA 808 [PDF Icon PDF: 128Kb]

Improvement Notice Declaration

AMSA 809 [PDF Icon PDF: 128Kb]

Direction Notice Declaration

AMSA 898 [PDF Icon PDF: 128Kb]

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