Published on Australian Maritime Safety Authority (https://www.amsa.gov.au)
Civil liability convention (oil tankers) - Certificate of insurance (form 1892)
Overview
You can use this form to apply for a Certificate of Insurance (COI) – civil liability convention (oil tankers).
How to complete this form
Your personal and ownership details MUST be identical on this form, the P&I Club Blue Card and the vessel’s registration on the AGSR to avoid delays in processing your application.
- Ensure that details on the application form are consistent with the blue card (for example, address details, ownership details and ports of registry).
- Charter details as well as ownership details should be listed on both the application and the blue card.
- A fee of A$70 is payable for the issue of a first certificate or, in the case of certificate renewal, when substantial changes are made.
- A fee of A$40 is payable on annual renewal of the certificate where existing insurance arrangements continue, or are not substantially changed.
- Please complete the application form using the explanatory notes on the right hand side of each page.
Before you send us your application, scan the QR code on your application form or visit Civil Liability Convention Payments and pay your application fee online.
You can pay by credit card, Apple Pay or Google Pay.
Submitting the form
You can submit this application by email or post to:
Flag Certification Coordinator
Ship Inspections
Australian Maritime Safety Authority
GPO Box 2181 Canberra City 2601
Ph (02) 6279 5000
Email: opsadmin@amsa.gov.au
Contact us if you need help accessing this form.
Source URL: http://www.amsa.gov.au/form1892
List of links present in page
- https://forms.amsa.gov.au/html/Form/civil-liability-convention-payments
- mailto:opsadmin@amsa.gov.au
- https://www.amsa.gov.au/about/contact-us/make-enquiry
- http://www.amsa.gov.au/form350