EPIRB registration

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

Official 406 MHz EPIRB Registration Form
EPIRB Information

Beacon ID (Unique Identifier Number)

Checksum

I I I I I I

I I I I I 11 I I I I 11 I I I I I

D Category

(15 digit character ID provided by EPIRB manufacturer)

D Category

For manufacturer's use only.

I (Automatic Deployment)
II (Manual Deployment)

EPIRB Manufacturer
Model No.

Purpose of EPIRB Registration

Registration
of Registration
D Change of Ownership

D New

D Change

DRenewal

DReplacement

DReplacement

of Registration Information
for a previously registered EPIRB
Please enter the old unique ID number
Telephone

(Last, First, Middle Initial)

Mailing Address

(

)

DHome Dwork DcellularDFax DOther

(

)

DHome Dwork DcellularDFax DOther

(

)

D Home Dwork Dcellular DFax D Other

(

)

D Home Dwork Dcellular D Fax D Other

Area Code
Area Code

City

State/Province

ZIP (Postal) Code

Country

Area Code
Area Code

E-mail

Vessel Information
Usage:

D Commercial
D Government Military

Type
Sail: Number of Masts
Power:

DFishing

0Tug

Radio Equipment (Check all that apply)

D Non-commercial
D Government Non-military

DVHF

DMF

D HF

D SSB

D Other

Vessel Telephone Numbers
Radio Call Sign

ocargo

0Tanker

DPleasure Craft

Cellular

MMSI Number

INMARSAT

Dother

Non-power:

of Decal Only

I I I I I 11 I I I I 11 I I I I I

Owner/Operator Information
Name

Mail or Fax to:
SARSAT Beacon Registration
NOAA
NSOF, E/SPO53
1315 East West Hwy
Silver Spring, MD 20910
Fax No. 301-817-4565

Federal / State Registration Number

D Life Boat D Life Raft D Other

Vessel Name

Length Overall (ft)

Vessel Color

Homeport

Survival Craft(s) on Vessel: Life Boat -

-

No. of

Life Raft -

-

No. of

Is your EPIRB equipped with a Simplified Voyage
Data Recorder (SVDR)? DYes D No

Capacity

Crew and Passengers

Marina/Dock
City

State

Additional Data

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

(

)

DHome Dwork DcellularDFax DOther

(

)

DHome Dwork DcellularDFax DOther

(

)

DHome Dwork DcellularD Fax DOther

(

)

DHome DWork DCellularDFax DOther

Area Code
Area Code
Area Code
Area Code

Signature

(

)

D Home Dwork DcellularDFax DOther

(

)

DHome Dwork DcellularDFax DOther

(

)

DHome Dwork DcellularDFax DOther

(

)

DHome Dwork DcellularDFax DOther

Area Code
Area Code
Area Code
Area Code

Date

If you do not receive a hardcopy confirmation of your registration from NOAA within 2 weeks, email us at beacon.registration@noaa.gov
or call 1-888-212-SAVE (7283) or 1-301-817-4515.
For information on the U.S. Search & Rescue Satellite-Aided Tracking (SARSAT) system, visit www.sarsat.noaa.gov

OMB
0MB Auth.(0648-0295)
Auth. (0648-0295)Expires:
Expires.30SEP2017
30JUN2011
Rev. 09/2011

Important Notice - Please Read Before Completing Your Registration
Registration is an important facet for all Cospas-Sarsat 406 MHz emergency beacons. Not only is it required by Federal
Regulations but the information you furnish is used by Search and Rescue (SAR) agencies in the event of beacon
activation. Registration information is an important tool to assist the United States Coast Guard, United States Air Force,
and other SAR agencies in locating and quickly responding to you, your vessel, or your aircraft. Failure to register your
beacon or update your registration information may delay a rescue response. Accurate, up-to-date registration information
is used to conserve resources by helping to eliminate false alert deployments, as an inadvertent activation can be resolved
with a phone call when the beacon is properly registered.
There is no charge for beacon registration. This is a service provided by the U.S. National Oceanic and Atmospheric
Administration (NOAA).
All online registrations are entered into the National 406 MHz Beacon Registration Database on the same day of entry.
Registration forms received via postal mail, email, or fax are entered into the database within 2 business days of receipt.
A confirmation letter with your completed registration information is sent to you immediately via email. In addition, a
hardcopy of the confirmation letter will be sent to you via postal mail and should arrive within 2 weeks (if you have not
provided an email address, you will only receive this hardcopy). If your beacon is an EPIRB, PLB, or SSAS, a NOAA
Registration Decal will be included on your hardcopy confirmation letter; please affix the decal to your beacon in such a
way that it is clearly visible. (ELT owners do not receive decals.) Upon receipt of your registration confirmation, please
review all information. If changes or updates are necessary, you can make them online or by sending them to us via email,
fax, or postal mail. If you have NOT RECEIVED your registration confirmation within 2 weeks, please email or call
us (contact information below).
Failure to register, re-register (as required every 2 years), or to notify NOAA of any changes to the status of your
406 MHz beacon could result in penalties and/or fines being issued under Federal Law. More importantly, failure to
maintain accurate and complete information could result in a delayed response by rescue forces.
The owner or user of a beacon is required to notify NOAA immediately 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 the 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 87 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 Beacon Registration website.
Please note that 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 beacon registration. Although the information provided will
become a matter of public record, there is no intent to circulate beyond its intended purpose--to assist SAR agencies in
carrying out their mission. False alerts remain a chief concern for SAR agencies. Please carefully refer to the beacon’s
user manual for instructions on properly operating, installing, testing, performing required maintenance, and/or stowage of
your beacon. These are important factors in reducing the number of false alerts. Please use the utmost care at all times!
The 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, and completing and reviewing the collection
of information. Comments regarding this burden or any other aspect of this collection of information, including
suggestions for reducing this burden should be sent to:
SARSAT Beacon Registration
NOAA/SARSAT
NSOF, E/SPO53
1315 East West Highway
Silver Spring, MD 20910

NOAA SARSAT Beacon Registration Database
www.beaconregistration.noaa.gov | beacon.registration@noaa.gov
Toll-Free: 1.888.212.7283 (SAVE) | Local: 301.817.4515 | Fax: 301.817.4565