Print
AMSA 758

Miscellaneous form (for matters not covered by other forms)

Overview 

You can use this form to apply for or notify us of matters not covered by other forms. This includes determinations under Exemption 02 or Exemption 40.

To process your application, the specified information and documentation must be included with the AMSA Form 758 for each matter below.

How to complete this form 

Include all relevant information, including identifying numbers of people and/or vessels. Attach supporting documents as needed.

Submitting the form 

You can email your application form to: DCVApplications@amsa.gov.au.

Postal applications are also accepted and can be addressed to:

Australian Maritime Safety Authority
Attention: Vessel Safety Unit
GPO Box 2181 
Canberra ACT 2601 
AUSTRALIA

Last Updated: 

24 September 2021