National Vessel Monitoring System (VMS) Form

**Please Print Clearly**

Vessel Information

Vessel Registered in DFO Region: (please check one only)

VMS Unit Information

VMS Installer Information

Communication Service Provider Information (CSP)

Inmarsat-C (only)

VMS Action Request

Type of Action: (please check one)

VMS Transfer (ONLY)

Vessel Information from Where the VMS unit was removed Vessel

Vessel Registered in DFO Region: (please check one only)

Authorization

Effective immediately, please accept this form as authorization for Fisheries and Oceans Canada to access the positional data and associated identifiers and information from the Vessel Monitoring Unit installed on above vessel.

I understand that this information will be processed, stored and disseminated by DFO in conformity with Canadian laws and current DFO policies.

Signed at

(Location when signing)
on this

(Day of month)
day of
,
(Month, Year)


This form can not be sent electronically. It must be printed and sent by mail or by fax.

Please fax/mail to:

Gulf Region
Vessel Monitoring Program
Fisheries & Aquaculture Mgmt Branch
Fisheries & Oceans Canada
P.O. Box 5030
Moncton, NB E1C 9B6
Fax: (506) 851-7377
Toll Free: 1-888-269-7133

Quebec Region
Vessel Monitoring Program
Fisheries & Aquaculture Mgmt Branch
Pêches et Océans Canada
104 rue Dalhousie
Québec, QC G1K 7Y7
Fax: (418) 648-7595
Toll Free: 1-866-299-0070

All Other Regions
Vessel Monitoring Program
Fisheries & Aquaculture Mgmt Br.
Fisheries & Oceans Canada
P.O. Box 5667
St. John\'s, NL A1C 5X1
Fax:(709) 772-5787
Toll Free: 1-888-772-8225