RSMAS PHYSICAL PLANT STUDENT BOAT TRIP SLIP
(must be submitted to Dockmaster 48 hours prior to departure)

User: ___________________ Department: _______________ Phone #: _______________

Account #: ________________ Signature of Advisor: ______________________________

Approval/Associate Dean for Graduate Studies: ___________________________________

Float Plan

Depart: ________________________ ____/____/____ ____ a.m./p.m.

Return: ________________________ ____/____/____ ____ a.m./p.m.

Destination - Latitude _____degree____ minute_____ Longitude _____ degree____ minute____

Area of Operation: ______________________________________________________________

Proposed Route: ________________________________________________________________

Research Objectives Description: __________________________________________________

Scuba Diving To Be Performed: _________ Approved dive plan attached: ________

List of Persons Aboard (including operator)

Name

Institution/Agency

Emergency Name & Phone #

______________________

______________

______________________

______________________

______________

______________________

______________________

______________

______________________

______________________

______________

______________________

Charges

# of Gallons (gas) _______ @ $1.75 (price/gallon) = $_________

# of Gallons (oil) ________ @ $1.25 (price/pint) = $ _________

# of Days (boat use) _____ @ $_____ (price/day) = $ _________

Additional fees (damages, cleaning, crew, other):

Explanation: _____________________________________Amount: $________

Less Refunds (explanation): _________________________Amount: $________

As of ____/____/____ total balance due: $________

Debit Account #: __________ Amount: ________ Credit Account #: ________

Additional Comments: ___________________________________________________________

_____________________________________________________________________________