Ship Security Alert System Registration

Save Time! Register your beacon online at: www.beaconregistration.noaa.gov

Official 406 MHz Ship Security Alert System
(SSAS) Beacon Registration Form

Mail or Fax to:
NOAAlSARSAT
NSOF, E/SP3
4231 Suitland Road
Suitland, MD 20746
Fax No. 301-817-4565

SSAS Information
Beacon ID (Unique Identifier Number)

Checksum

ITIIIJ ITIIIJ ITIIIJ

ITIIIJ

(15 digit character ID provided by SSAS manufacturer)

SSAS Manufacturer

Please affix beacon manufacturer's label here.

Model No.

Purpose of SSAS Registration
D

New Registration

D

Change of Registration Information

D

Renewal of Registration

D

Replacement for a previously registered SSAS

D

Change of Ownership

D

Please enter the old unique ID number

Replacement of Decal Only

ITIIIJ ITIIIJ ITIIIJ

Owner/Operator Information
Telephone

Name
(Last, First, Middle Initial)

(

Mailing Address

)

D Home DWork DCeliularD Fax D Other

Area Code

(

)

D Home DWork DCeliularD Fax D Other

Area Code

City

State/Province

ZIP (Postal) Code

Country

(

)

D Home DWork DCeliularD Fax D Other

Area Code

(

)

D Home DWork DCeliularD Fax D Other

Area Code

E-mail

Vessel Information

Radio Equipment (Check all that apply)

Usage

DVHF

D Commercial

D Non-commercial

D Government Military

D Government Non-military

D Fishing

DTug

D

HF

D

SSB

D

Other

Radio Call Sign
Cellular
DCargo

DTanker

D Pleasure Craft

MMSI Number

INMARSAT

Federal I State Registration Number

DOther

Non-power:

D

Vessel Telephone Numbers

Type
Sail: Number of Masts
Power:

DMF

Length Overall (tt)

Life Boat D Life Raft DOther

Capacity
Crew and Passengers

Vessel Name

Homeport
MarinalDock

Vessel Color
City

Survival Cratt(s) on Vessel
Life Boat

State

Additional Data
Life Raft

No. of

No. of

Emergency Contact Information (Please indicate someone other than the owner)
Name of Primary 24-Hour Emergency Contact:

Name of Alternate 24-Hour Emergency Contact:

Telephone

Telephone

(

)

Area Code

(

)

Area Code

(

)

D Home DWork DCeliularD Fax DOther
D Home DWork DCeliularD Fax DOther
D Home DWork DCeliularD Fax DOther

Area Code

(

)

Area Code

Signature

(

)

Area Code

(

)

Area Code

(

)

D Home DWork DCeliularD Fax DOther
D Home DWork DCeliularD Fax DOther
D Home DWork DCeliularD Fax DOther

Area Code
D Home DWork DCeliularD Fax D Other

(

)

D Home DWork DCeliularD Fax DOther

Area Code

Date

If you have any questions about this form or with SSAS registration In general, please call1-888-212-SAVE (7283) or 301-817-4515.
For information on the U.S. Search & Rescue Satellite-Aided Tracking system, please visit: www.sarsat.noaa.gov

OMB (0648-0295) EXplfes. 31JUN2011
Rev. 05/2010

Important Notice - Please Read Before Completing Registration
Registration is an important facet for all Cospas-Sarsat 406 MHz Ship Security Alerting System (SSAS) beacons. Not
only is it required under Federal Regulations but the information you furnish is used by the United States Coast Guard in
the event of beacon activation. The registration information is an important tool to assist the Coast Guard in locating and
responding to your vessel. Failure to register your SSAS beacon may delay a timely response.
There is no charge for registering an SSAS beacon. This is a service provided by the U.S. National Oceanic and
Atmospheric Administration (NOAA).
All online registrations will be entered into the National 406 MHz Beacon Registration Database on the same day of entry.
Registration forms received via postal mail service will be entered within 2 business days of receipt. For online
registrations, a confirmation letter with your completed registration information form will be sent immediately via e-mail or
fax (if provided). Confirmation letters sent via postal mail should arrive within two weeks. Once your registration
confirmation is received, please review all information. Any changes or updates to your registration information can be
done via the internet, fax, e-mail or postal mail. If you do not receive your registration confirmation from NOAA on the
same day you submit it over the internet or within two weeks if you submit it by postal mail, please call NOAA toll-free at:
1-888-212-SAVE (7283) or 301-817-4515 for assistance.
After initial registration (or re-registration) you will receive a NOAA Proof of Registration Decal by postal mail. This decal
is not to be affixed to the SSAS beacon. Instead, the decal is required to be maintained in the SSAS Annex to the Vessel
Security Plan. For those vessels not required to maintain a Vessel Security Plan, please keep the decal on board along
with your vessel's registration documentation. If for some reason you do not receive the registration decal within two
weeks, please call NOAA toll-free at: 1-888-212-SAVE (7283) or 301-817-4515 for assistance.
Failure to register, re-register (as required every two years), or to notify NOAA of any changes to the status of your SSAS
beacon could result in penalties and/or fines being issued. The owner or user of the SSAS beacon is required to notify
NOAA of any changes to the registration information at any time. By submitting this registration the owner, operator, or
legally authorized agent declares under penalty of law that all information in this registration information is true, accurate,
and complete. Providing information that is knowingly false or inaccurate may be punishable under Federal Statutes.
Solicitation of this information is authorized by Title 47, Part 80 of the U.S. Code of Federal Regulations (CFR) and the
U.S. Office of Management & Budget (OMB) Control Number: 0648-0295. Additional registration forms can be found on
the NOAA-SARSAT website at: www.sarsat.noaa.gov or at: www.beaconregistration.noaa.gov.
Please note, NOAA will complement or update your registration information if your registration is outdated and credible
information is provided from other sources. NOAA will also seek information from other databases to update and/or
complement the existing information for an expired SSAS registration.
Although the information provided will become a matter of public record, there is no intent to circulate the data furnished
beyond its intended purpose, i.e., to assist the Coast Guard in carrying out its mission. Public reporting burden for the
collection of this information is estimated to average 15 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. Comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden should be sent to:
NOAA/SARSAT
NSOF, E/SP3
4231 Suitland Road
Suitland, MD 20746
Or call: 1-888-212-SAVE (7283) or 301-817-4515
Finally, false alerts are a significant concern to NOAA and the Coast Guard. We ask that you carefully refer to the SSAS
beacon user manual for instructions on properly operating, installing, testing, and when performing required maintenance.
We find that these are important factors in reducing the number of false alerts. Please use the utmost care at all times!