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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 or requesting a replacement copy of your vessel permission or certificate of operation.

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 or post your application form to us.

Email applications can be sent to: AMSAConnect@amsa.gov.au

Postal applications can be addressed to:

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

Last Updated: 

18 June 2019