| Boat Name | Spell phonetically |
| Vessel Flag | US, Canadian etc |
| # People of board | ... |
| Injuries | ... |
| Nature of Distress | On Reef - Broken Rudder |
| Location | Lat Lon - Miles from... |
| Hull Color | White with blue dodger |
| Hull Style | Sloop, Ketch, Cat, Trawler |
| Hull Length | ... |
| (Volunteer to take notes) | Someone with clear copy |
| Contact Frequencies | Reporting party - Contact Party |
| (Repeat info often) | ... |
| Port Captain closest | ... |
| Navy Base closest | ... |
| Ham to contact Ham Net now | 14,300 Net - East Coast Waterway |
| Boats with Cell phones | Willing to make calls |
| Boats with Internet | Willing to make searchs |
| Boats in Area | ... |
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