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OMB #0648-0372

Expires 11/30/2016

Vessel Monitoring Systems Certification Statement

for Atlantic Highly Migratory Species Fisheries

INSTRUCTIONS: This form should be completed and signed by the owner and the qualified marine

electrician that installed the VMS unit on the vessel named below. The completed form should be sent to

NOAA Office of Law Enforcement, 263 13

Avenue South, Suite 109, St. Petersburg, Florida 33701. This

Vessel Monitoring Systems (VMS) Certification Statement for the Highly Migratory Species (HMS) Fisheries

is provided by the National Marine Fisheries Service (NOAA Fisheries) pursuant to the regulatory

requirements of 50 C.F.R. § 635.69. This certification statement is applicable for the VMS providers currently

approved for use in HMS fisheries.

A qualified marine electrician must follow the manufacturer’s installation procedures when installing or re-

installing a NOAA Fisheries-approved VMS unit. The vessel owner is responsible for all installation and

activation costs. After completion of the installation and activation, the owner should confirm that NOAA

Fisheries is receiving position reports by calling NOAA Office of Law Enforcement in St. Petersburg, Florida,

at, 800-758-4833 or by sending an e-mail to NMFS.OLE.SE@noaa.gov.

Vessel Name:___________________ U.S Coast Guard Documentation Number:_______________

Installing marine electrician or dealer (name, address, and telephone number):

_________________________________________________________________________________

Date of Installation (mm/dd/yyyy):__________________

VMS Enhanced Mobile Transceiver Unit (E-MTU):

Manufacturer name:_________________________________________________________________

Model:___________________________________________________________________________

Manufacturer serial number (S/N):_____________________________________________________

Communication network serial number (ISN):____________________________________________

VMS Mobile Communications Service Provider (MCSP)

Communications provider name:________________________________

Communications ID number assigned by service provider:____________________

Once the VMS E-MTU was installed, did the electrician/dealer, or the owner and/or operator of the

vessel verify with NOAA OLE VMS Program personnel that position data was being received?

Yes

Certification:

In accordance with 50 C.F.R. § 635.69(d), as a qualified marine electrician, I hereby certify that the

VMS system on the vessel named above has been installed in compliance with applicable procedures.

Vessel Owner/Operator’s Name: ______________________________________________

Vessel Owner/Operator’s Signature___________________________ Date: ____________

Installer’s Name:___________________________________________________________

Vessel Monitoring Systems Certification Statement For Atlantic Highly Migratory Species Fisheries - Us Department Of Commerce