Registration of URI Charter

Name of URI Employee Registering this Charter*
Include URI Department
Email*

Contact URI Employee Email
Name of URI Chartered Vessel*
Name of Charterer (Third Party Hiring URI Vessel)*
Charterer Operations to be Performed including Aboard
What work/research or other is being done by the Charterer? Why did they Charter the Vessel?
Voyage Itinerary/Dates:*
From What Date to What Date.
Maximum number of Charterer members on voyage.
Will Charterer bring their tools or equipment on the Vessel?*
If the Value of any one tool/equipment the Charterer is bringing aboard is valued over $500.00. Please list each tool.
Number and list each tool valued over $500.00.
Will Diving Operations be Performed: Yes/No*
If you answer YES contact Risk Management.
Is a URI Charter Agreement Signed?*
If YES. ATTACH THE SIGNED AGREEMENT BELOW. ALONG WITH ANY CERTIFICATE OF INSURANCE PROVIDED TO YOU BY CHARTERER.
File
Max. file size: 10 MB.