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Event Report Form

Form number Date Published Date Revised
ECY 050-34 June 1999 January 2009
VIEW NOW Event Report Form (Number of pages: 4) (Publication Size: 86KB)

Microsoft Word format (Publication Size: 100KB)

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Description To fill out this form on-line see "related web content below".

This form is used to report an event or casualty that happened to a vessel while in transit in Washington waters. The information in this report will be used by the Department of Ecology, Spills Program Marine Information System where it will analyze causes and contributing factors relating to vessel casualties.
REQUEST A COPY The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.

ADA Accessibility
The Department of Ecology is committed to providing people with disabilities access to information and services by meeting or exceeding the requirements of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act, and Washington State Policy #188.
Visit Ecology’s website for more information
Contact Lisa Isakson at 360-407-7211 or
Keywords vessel, report, Spills form, Official Ecology Form, information, water, spill, spills, marine