MUST READ IMPORTANT INFORMATION:
  • YOUR REQUEST WILL BE DENIED if one of these specific official U.S. offshore worker identifications below is not provided. Do not submit a request without including a cell phone photo of one of these sets of identification:
    • BOSIET/FOET OPITO-approved certification card issued by a U.S. training facility (a paper certificate instead of a card MUST include the cert number and your drivers license in the same photo as well. Your cert number and name will be verified in the OPITO database.)
    • HUET/THUET OPITO-approved certification card issued by a U.S. training facility (a paper certificate instead of a card MUST include the cert number and your drivers license in the same photo as well. Your cert number and name will be verified in the OPITO database.)
    • MMC BOOKLET issued by the U.S. Coast Guard
    • Commercial Fishing License issued by the U.S. (or a U.S. State) Fish and Wildlife Service
    • Crew member license issued by a U.S. State
    • 1099 from no later than last or current calendar year issued by a verifiable commercial fishing business as proof of Commercial Fishing Deckhand employment
  • If your request is approved and your identification expires while you're on our waitlist, we will email you for an image of your renewed id, as it is required to mail you a PLB.
  • This form can be filled out using a smart phone or a computer.
  • This form is to add an individual, whose employment involves working out on the ocean in any one of several US offshore industries, to our waitlist for a free PLB-Personal Locator Beacon, assuming all required information is provided and meets review.
  • Only one request per offshore worker.
  • All data is required to get on the waitlist.
  • Requests are processed on a first come, first serve basis.
  • After your application is reviewed, which could take weeks depending on the request volume, you will receive a confirmation email of waitlist acceptance or denial.
  • Our ability to send you a free PLB is completely dependent on how many donations we have received from others. Please share our Facebook page or website with everyone you know to see if they would be interested in donating to our mission.
  • We expect a lot of requests, so we appreciate your patience while you wait for an update.
  • If you have technical issues with the form, please let us know by emailing jasonsbeacon+request@gmail.com.

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* First Name Only of Active Offshore Worker

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* Last Name Only of Active Offshore Worker

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* Offshore Worker Contact Information

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* At what email address would you like to be contacted?

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* Select the Offshore Industry That You Are Employed In

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* READ ALL CAREFULLY: Upload a cell phone photo of one of these sets of valid credentials, and additional identification if asked, as described below which indicates your current active Offshore Employment. The request will be DENIED without all the required information provided in the photo:
  • BOSIET or FOET Card with name, face, and expiration date visible:
    • If your card is two sided, take a photo of both the front and the back, then use an app or screenshot to combine them into one image, side by side, to upload here.
    • If your cert card does not include an image of your face, you MUST also include a drivers license or passport in the same photo with your name and face visible.
  • Paper BOSIET or FOET Certificate with name, certification number and expiration date visible:
    • MUST also include your valid drivers license or passport in the same photo with your name and face visible.
    • The certificate number will be validated in the OPITO database.
  • HUET or THUET Card with name, face, and expiration date visible:
    • If your card is two sided, take a photo of both the front and the back, then use an app or screenshot to combine them into one image, side by side, to upload here.
    • If your cert card does not include an image of your face, you MUST also include a drivers license or passport in the same photo with your name and face visible.
  • Paper HUET/THUET Certificate with name, certification number and expiration date visible:
    • MUST also include your valid drivers license or passport in the same photo with your name and face visible.
    • The certificate number will be validated in the OPITO database.
  • MMC booklet page that has name, face, and expiration date visible (Date of birth and place of birth can be blacked out.)
  • Commercial Fishing License with U.S. State Seal or Crewmember License issued by U.S. State:
    • MUST also include your valid drivers license or passport in the same photo with your name and face visible.
  • Current year or last year 1099 from a commercial fishing business (SSN can be blacked out. MUST include your drivers license in the photo with the 1099 for us to validate and approve.)

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PLEASE REVIEW THE DATA YOU ENTERED ABOVE CAREFULLY BEFORE SELECTING THE SUBMIT BUTTON BELOW. AFTER SELECTING SUBMIT BELOW, DATA WILL BE IMMEDIATELY SENT TO OUR DATABASE AND YOU WILL NOT BE ABLE TO GO BACK AND CHANGE IT.
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* Admin Purposes Only-Leave All Blank

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