Change Name of Registered Vessel

Please complete this form if you would like to change the name of your registered vessel.

Vessel Details

Current Name of Vessel *

Vessel's Official Number *

Vessel's Port of Registry *

Client Details

Client Full Name *

Telephone Number *

Format: 1(123)456-7890

Email Address *

New Name

Choose 3 unique names for your vessel.

1st choice *

2nd choice *

3rd choice *

Please enter your preferred new name for the vessel. Transport Canada requires 3 choices of a name to be provided. If you only want the specific name you choose to be the name of the vessel, we could confirm that the name is available before submitting your paperwork to Transport Canada. If your desired name is unavailable, we will contact you so that you could choose another name before processing your paperwork.

Please check this box if you would like us to confirm your preferred vessel name is available before submitting the request:

Pre-registration confirmation of name availability (+$35)

Owner Details

Please add the name and details of all registered owners for the vessel:

First Owner (Individual): (switch to Corporation)

Owner's Last Name *

Owner's First Name *

Street Number And Name *

City *

Province *

Postal Code *

Telephone Number *

Format: 1(123)456-7890

Cell Number

Format: 1(123)456-7890

Fax Number

Format: 1(123)456-7890

Email Address *

Signed at *

Place

Date Application Signed *

Signature *

Please Print Name

First Owner (Corporation): (switch to Individual)

Corporate Name *

Registration Number *

Jurisdiction of Incorporation *

Street Number And Name *

City *

Province *

Postal Code *

Name of Director or Officer:

Last Name *

First Name *

Title *

Telephone Number *

Format: 1(123)456-7890

Cell Number

Format: 1(123)456-7890

Fax Number

Email Address *

I , state that I have authority to bind .

I also state that is the name of a corporation which legally exists at the date of this Application as per the laws of .

! This Application must be signed by any Officer or Director of the corporation who has the authority to bind the corporation. Pursuant to Sections 51(2) and 75.01(2) of the Canada Shipping Act, 2001 applicants may be required to provide additional information as requested by the Chief Registrar.

I understand that it is an offence for a person to knowingly make a false or misleading statement in writing and that the penalty can be a fine or imprisonment or both if found guilty in a court of law (Section 37 of the Canada Shipping Act, 2001).

Signature of Officer of Director *

Please Print Name

Date Application Signed *

Second Owner (Individual): (switch to Corporation) (delete this owner)

Owner's Last Name *

Owner's First Name *

Street Number And Name *

City *

Province *

Postal Code *

Telephone Number *

Format: 1(123)-456-7890

Cell Number

Format: 1(123)456-7890

Fax Number

Format: 1(123)456-7890

Email Address *

Signed at *

Place

Date Application Signed *

Signature *

Please Print Name

Second Owner (Corporation): (switch to Individual) (delete this owner)

Corporate Name *

Registration Number *

Jurisdiction of Incorporation *

Street Number And Name *

City *

Province *

Postal Code *

Name of Director or Officer:

Last Name *

First Name *

Title *

Telephone Number *

Format: 1(123)456-7890

Cell Number

Format: 1(123)456-7890

Fax Number

Format: 1(123)456-7890

Email Address *

I , state that I have authority to bind .

I also state that is the name of a corporation which legally exists at the date of this Application as per the laws of .

Signature of Officer of Director *

Please Print Name

Date Application Signed *

Add Second Owner

Total Cost

Registration Type: Change Name of a Registered Vessel

Price: 325 CAD

Add any additional services you wish to have processed:

Certified Transcript (+$125)
Uncertified Transcript (+$75)
Pre-registration confirmation of name availability (+$35)

Final cost:

$ 325 CAD

Payment

# # # # # # # # # # # # # # # #

Card Holder Full Name

Expires

MM/YY

CVV

Card Number *

Card Holder’s Full Name *

Expiration Date *

CVV *

Billing Address

Street Address *

City *

Province *

Country *

Postal Code *

I agree with Terms of Use which govern my relationship with Vessel Registration Canada and specifically authorize Vessel Registration Canada’s staff to process and execute the necessary forms and submit same to Transport Canada on my behalf. I further agree to pay and authorize the total amount stated above to be charged to my credit card and acknowledge that this payment is non-refundable.