Stowaway Incident Declaration
Company Details
Company Name
Contact Person
Contact Email
Contact Phone
Incident Details
Date & Time of Discovery
Location Discovered
Mode of Transportation
Vessel/Vehicle Number or Name
Personnel Involved in Discovery
Description of Incident
Stowaway Information
Number of Stowaways
Stowaway Details (if known)
Actions Taken
Actions Taken (including authorities notified)
Current Status of Stowaways
Declaration
Name of Declarer
Date
Signature