Australian Government - Australian Maritime Safety Authority

AMSA forms payments

AMSA Form Selection

Form Number

Form Title

Form Description
coastal-pilotage-payment Coastal pilotage credit card payment authorisation AMSA 1021 - Coastal pilotage credit card payment authorisation
shipping-registration-payment Shipping Registration payment authorisation AMSA 114 - Shipping Registration payment authorisation
civil-liability-convention-payments Civil liability convention AMSA 1892 - Civil liability convention
title-extract-order-payment Certified extract AMSA 204 - Certified extract of Register payment authorisation
bunkers-convention-payments Bunkers Convention Certificate of Insurance AMSA 350 - Bunkers Convention Certificate of Insurance
419 INTERNATIONAL SEAFARER CERTIFICATES AMSA 419
426 Certificate of Competency Application Certificate of Competency application.
536 Final Practical Assessment Record Final Practical Assessment Record.
558 Self Declaration of Medical Fitness Self Declaration of Medical Fitness
618 Application for sea rangers exemption Application for sea rangers exemption.
664 Information release authorisation This form may be used by the owner of a domestic commercial vessel to authorise the release of vessel records to an accredited marine surveyor for the purposes of undertaking a vessel survey. Either the owner or accredited marine surveyor is able to lodge this form with the marine safety agency where the vessels most recent survey records are maintained.
739 Notification of Lost, Stolen or Damaged Surveyor ID Card Use this form to notify AMSA if your Surveyor ID card has been lost stolen or damaged so that we can provide you with a new one.
740 Notification of Change to Accreditation Use this form to change your employment, address, contact, name or other details on your accreditation.
741 Application for accreditation in a category of surveying Use this form to make a new application for accreditation in a category of surveying.
742 Notification of a change of circumstance (government surveyor becoming private) Notification of a change of circumstance (government surveyor becoming private).
758 Miscellaneous form Use this form to notify AMSA of matters which are not covered by any other prescribed forms.
771 Near Coastal Sea Service Record Record of sea service.
791 Application for wildlife or other sightseeing exemption Application for wildlife or other sightseeing exemption.
804 Application for renewal of accreditation in category(s) of marine surveying Use this form to apply for approval to renew your accreditation in a category of surveying.
808 Prohibition notice declaration Prohibition notice declaration.
809 Improvement notice declaration Improvement notice declaration.
895 Technical Advisory Panel Nomination Form Technical Advisory Panel nomination form.
898 Direction notice declaration Direction notice declaration.
899 Application for client initiated suspension or surrender of marine surveyor accreditation Use this form to suspend or surrender your marine surveyor accreditation.
902 Application for Variation of Conditions in a Category of Surveying Use this form to vary the conditions of your accreditation in a category of surveying.