Ship repair and immobilisation, for a period shorter than the time limit exemption

Please submit the form at least 72 hours in advance. Is this not possible in the given time frame? Please call us at 0031 20 5234 600, press 2 and together, we can consider your options.

Applicant's details

UCRN
Berth

Application details

Has a safety- and health-declaration been issued by a gas expert?
Unlimited number of files can be uploaded to this field.
4 MB limit.
Allowed types: pdf.
Are there flammable materials, hazardous substances or uncleaned tanks within 25 metres?
Max. 5 mb. PDF file.