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How to use or fill out Fishermen's Fund REPORT OF VESSEL SITE INSURANCE
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Click ‘Get Form’ to open it in the editor.
Begin by entering the injured or ill fisherman's name and details of the injury or illness in the designated fields.
Provide the date of injury and the name of the vessel or beach site permittee. Ensure this information is printed clearly.
Fill out the medical insurance coverage information as required, ensuring compliance with regulation 8 AAC 55.010 (f).
Complete the section for benefit information, indicating if a claim has been filed against the Protection & Indemnity (P&I) insurance policy.
Certify under penalty of perjury by checking all applicable boxes regarding P&I insurance coverage and providing necessary details such as deductible and insurance carrier.
For crew members, complete their respective sections detailing contact attempts with vessel owners/operators regarding insurance confirmation.
Finally, ensure that both vessel owner/operator and crew member sign and date the form to affirm that all statements are true and correct.
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For Alaskan commercial fisheries, Alaska Fishermens Fund data can be used to identify possible variations by vessel and gear type, fishing district, nature
The Fishermens Fund is not an insurance program and should not be considered the primary payor. The Fund only pays after private insurance has been billed or
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