Pacific Transshipment Declaration Form

OMB ###################

Expires__________________ _

FOR OFFICE USE ONLY FORM UNIQUE IDENTIFIER: LOCATION DESCRIPTOR: [High Seas, EEZ, etc.]

PACIFIC TRANSSHIPMENT DECLARATION FORM

LOCATION OF TRANSSHIPMENT: DATE(S) OF TRANSSHIPMENT:

(If at port, enter the PORT NAME; if at sea, give latitude and longitude of position in decimal form, to 0.1 degrees) (MM/DD/YYYY) – (MM/DD/YYYY)

Section 1: OFFLOADING VESSEL

Section 2: RECEIVING VESSEL

Section 3: OBSERVER (for transshipments at sea only)

VESSEL NAME: OFFICIAL NUMBER: NAME OF VESSEL OPERATOR:

VESSEL NAME: OFFICIAL NUMBER: NAME OF VESSEL OPERATOR: QUANTITY OF FISH PRODUCT ALREADY ON BOARD THE RECEIVING VESSEL PRIOR TO THIS TRANSSHIPMENT, BROKEN DOWN BY AREA OF CAPTURE: Amount: Unit of Measurement::________ RFMO Area: ___________________ Amount: Unit of Measurement::________ RFMO Area: ___________________ Amount: Unit of Measurement::________ RFMO Area: ___________________

The information in this box is provided to verify the presence of the named observer and does not represent the observer’s concurrence with the information provided on this form. The observer may choose not to sign this form. OBSERVER NAME: SIGNATURE (IF ON BOARD): DATE (MM/DD/YYYY): □ WCPFC Authorized □ IATTC Authorized

Section 4: CODES WEIGHT: WW: whole weight, GG: gilled & gutted, GX: gutted, headed & tailed, HG: headed & gutted, GT: gilled, gutted & tailed, GO: gutted only, not gilled, FL: filleted, LO: loins GEAR: PS: Purse seines, DL: Drifting longlines, PL: Poles and lines, HOVL: Hand operated vertical lines (non-squid), DN: Driftnets, TL: Trolling lines, HP: Harpoons, MVL: Mechanized vertical lines (non-squid), OT: Other type(s) of gear

Section 4: SPECIES

FR – FRESH FZ - FROZEN DR - DRIED

FORM OF PRODUCT (insert weight codes as shown above)

QUANTITY TRANSSHIPED

FISHING GEAR USED TO TAKE THE FISH (insert gear code as shown above)

GEOGRAPHIC LOCATION OF FISH CATCHES

NUMBER OF FISH (if longline-caught)

ESTIMATED WEIGHT AND UNIT OF MEASUREMENT

I - Inside WCPFC Area O - Outside WCPFC Area, (if O, specify if in the IATTC Area)

Circle One: EEZ (Country of Capture) or HS (High Seas)

If you indicate EEZ, write in the country of capture

Bigeye tuna

EEZ or HS

Yellowfin tuna

EEZ or HS

Albacore

EEZ or HS

Skipjack tuna

EEZ or HS

Swordfish

EEZ or HS

Blue marlin

EEZ or HS

Striped marlin

EEZ or HS

Sailfish

EEZ or HS

Spearfish

EEZ or HS

Sharks

EEZ or HS

Section 4: CODES WEIGHT: WW: whole weight, GG: gilled & gutted, GX: gutted, headed & tailed, HG: headed & gutted, GT: gilled, gutted & tailed, GO: gutted only, not gilled, FL: filleted, LO: loins GEAR: PS: Purse seines, DL: Drifting longlines, PL: Poles and lines, HOVL: Hand operated vertical lines (non-squid), DN: Driftnets, TL: Trolling lines, HP: Harpoons, MVL: Mechanized vertical lines (non-squid), OT: Other type(s) of gear

Section 4: SPECIES

FR – FRESH FZ - FROZEN DR - DRIED

FORM OF PRODUCT (insert weight codes as shown above)

QUANTITY TRANSSHIPPED

FISHING GEAR USED TO TAKE THE FISH (insert gear code as shown above)

GEOGRAPHIC LOCATION OF FISH CATCHES

NUMBER OF FISH (if longline-caught)

ESTIMATED WEIGHT AND UNIT OF MEASUREMENT

I - Inside WCPFC Area O - Outside WCPFC Area (if O, specify if in the IATTC Area)

Circle One: EEZ (Country of Capture) or HS (High Seas)

If you indicate EEZ, write in the country of capture

Pacific bluefin tuna

EEZ or HS

EEZ or HS

EEZ or HS

EEZ or HS

Section 5: U.S. VESSELS WITH RECEIVING VESSEL PERMITS TRANSSHIPPING LONGLINE-CAUGHT FISH

Section 6: U.S. SPTT-LICENSED PURSE SEINE VESSEL INFORMATION

BROKER OR SHIPPING AGENT AND CONTACT INFORMATION: PORT OF LANDING:

TRIP NO.: TRIP START DATE: DESTINATION OF FISH: TO BE PROCESSED AT:

Section 7: FOR TRANSSHIPMENTS IN THE IATTC CONVENTION AREA

DEPARTURE DATE (MM/DD/YYYY/HOUR): LOCATION OF DEPARTURE (PORT NAME): TRANSSHIPMENT START DATE (MM/DD/YYYY/HOUR): RETURN DATE (MM/DD/YYYY/HOUR): LOCATION OF RETURN (PORT NAME): TRANSSHIPMENT END DATE (MM/DD/YYYY/HOUR): AGENT’S NAME: FLAG AND RADIO CALL SIGN OF OFFLOADING VESSEL: FLAG AND RADIO CALL SIGN OF RECEIVING VESSEL:

I certify that the above information is complete and accurate to the best of my knowledge. OWNER or OPERATOR NAME: Indicate if owner or operator of: □ Offloading vessel □ Receiving vessel SIGNATURE: DATE:

Complete information on both front and back of the form.