Cook Islands Application for Bunkers Insurance Certificate


APPLICATION FOR A COOK ISLANDS CERTIFICATE ATTESTING INSURANCE OR OTHER FINANCIAL SECURITY IS IN PLACE IN RESPECT OF CIVIL LIABILITY FOR BUNKER OIL DAMAGE

In accordance with article VII of the International Convention on Civil Liability for Bunker Oil Pollution Damage, 2001

There is an application fee of US$250 per vessel. Certificates are sent via courier for an additional charge of US$150.

Delivery times will vary depending on the location of the applicant.

 
Required fields are marked *
 
 
*Full Name of Applicant:
 
*Applicants Phone Number:
 
 
*Address of the principal place of business of owner:
Address:
City:
State / Region:
Zip / Postal Code:
Country:

 
Address where you would like your certificate(s) sent:
(if different from above)


Address:
City:
State / Region:
Zip / Postal Code:
Country:
 
 
*Email address:
  A copy of your invoice will be emailed to the
address you have entered above.
     
 
*Preferred shipping method for Certificate(s):

 
Please select the number of ships you wish to apply for: