Forms and checklists

The Harbour Master's Reporting Center of the Port of Rotterdam Authority has been established in order to centrally receive and handle all operational maritime requests, questions, messages and reports.

A number of forms and checklists are online available in PDF format for requesting licenses and exemptions in the port of Rotterdam. Please find the forms below.

For other request, questions and reports please contacting the Harbour Master's Reporting Center by
e-mail (contact form), by telephone + 31 (0)10 252 10 00 or fax +31 (0)10 252 16 00.

Applications forms

	PDF Application form for small seagoing vessels (76 Kb)
	PDF Request pilot exemption for similar vessels (51 Kb)
	Ontheffing loodsplicht schepen t/m 90 meter (51 Kb)
	PDF Request for permission to carry out repairs (74Kb)
	PDF Request for permission for a ship to be berthed outside a Petroleum harbour (74Kb)
	PDF Request for permission to carry out 'emergency procedure' unloading operation (71 Kb)
	PDF Request for a ship-license (non tanker vessel) to enter Petroleum harbours (30 Kb)

Forms for notification

	PDF Notification of wastes / delivery waste and harmful substances
	PDF Parameters Oily Waste (15 Kb)
	PDF Notification of tankcleaning operations (70 Kb)
	PDF Notification of crude oil washing operations (74 Kb)
	PDF Notification of ships under fumigation (77 Kb)
	IMO General Declaration
	IMO Ship's Stores Declaration
	IMO Crew List
	IMO Passenger List

Checklists

	Ship shore safety checklist (73 Kb)
	Ship/ship safety checklist (237 Kb)
	PDF Seagoing vessel / Inland vessel Safety Checklist (300 Kb)
	PDF Bunker Checklist (91 Kb)

Other forms

	PDF IMO Complaint Form (13 Kb)
	Contact form Harbour Master Reporting Center