Load Line Certificate

(Form B)

(Official seal of issuing authority.)

(Certificate No. __)

Issued under the authority of the Commandant, U.S. Coast Guard, United States of America, under the provisions of the Load Line Act of March 2, 1929, as amended (46 U.S.C. 85-85g), and the Load Line Regulations in 46 CFR part 42:

(Insert full official designation of issuing authority)

and duly authorized for assigning purposes under the provisions of the Load Line Act of March 2, 1929, as amended.

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This is to certify that this ship has been surveyed and the freeboards have been assigned and load lines shown above have been marked upon the vessel in manner and location as required by the Load Line Regulations of the Commandant, U.S. Coast Guard, in 46 CFR part 42.

This certificate remains in force until ____,2 subject to annual revalidation in accordance with the Load Line Regulations, and endorsement thereof on the reverse side of this certificate.

Issued at ____________ (Place of issue of certificate), __________, 19__ (Date of issue)

(Signature of official issuing the certificate)

[Seal of issuing   

authority]   

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2Expiration date is not to exceed 5 years from original date of issue of this certificate. At expiration applicable reissuance of this certificate should be obtained in accordance with the Load Line Regulations.

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(Reverse Side of Certificate)

annual revalidation of certificate

This is to certify that the provisions of the Load Line Regulations of the Commandant, U.S. Coast Guard, are fully complied with by the condition of this ship on the dates indicated, and in each case this certificate is revalidated for a 1 year interval as follows: