Vessel Registration Application

Reason for Application*

Do you intent to operate this vessel ouside the waters of the U.S and its territories?*

Yes
No

Hull Material*

Propulsion Type*

Primary Operation*

Charter Fishing
Commercial Fishing
Commercial Other
Commercial Passenger
Dealer/Manu Demo
Pleasure
Rental/Lease
Documented

Vessel Type*

Fuel*

Diesel
Electric
Gasoline
Other

Engine Drive Type*

Length

Make & Model*

Vessel Name (if applicable)

Model Year OR Year Built*

Hull ID #*

Previous Owner (if applicable)

First Last

Number Previously Issued

Lienholder (if applicable)

Owner Details

Owner Name/Company Name*

First Name Middle Initial Last Name

Phone Number*

Personal E-mail Address*

Owner Address*

Street Address Apt # City State / Province / Region ZIP / Postal Code

Date of Birth (MM/DD/YY)*

License Number OR Passport/Foreign ID OR File Number/EIN*

Joint Ownership if Watercraft is Owned by More Than One Person(choose one)

And
Or

2nd Owner Name/Company Name

First Name Middle Initial Last Name

Phone Number

Personal E-mail Address

2nd Owner Address

Street Address Apt # City State / Province / Region ZIP / Postal Code

Date of Birth (MM/DD/YY)

License Number OR Passport/Foreign ID OR File Number/EIN

3rd Owner Name/Company Name

First Name Middle Initial Last Name

Phone Number

Personal Email Address

3rd Owner Address

Street Address Apt # City State / Province / Region ZIP / Postal Code

Date of Birth (MM/DD/YY)

License Number OR Passport/Foreign ID OR File Number/EIN

Owner Signature*

Printed Name*

Date*

Co-Owner Signature (if applicable)

Printed Name

Date

Delaware BOAT REGISTRATION

Vessel Registration Application

Owner Details