Skip to content

Driven by Service, Steered with Integrity

Home
About
Services
- Marine Services
- Land Services
Forms & Documents
Careers
Contact

Home
About
Services
- Marine Services
- Land Services
Forms & Documents
Careers
Contact

Phone : 718-981-4600

Email : dispatch@cwofny.com

Cleaning Plant Scheduling Form

Company Name(Required)

Vessel or Tug Name(Required)

This field is hidden when viewing the form

Crew Member Name(s)

If Unknown Send list Prior to service. Send Email To: Plant@cwofny.com

This field is hidden when viewing the form

Member Name #1

This field is hidden when viewing the form

Have TWIC?

Yes

No

This field is hidden when viewing the form

Member Name #2

This field is hidden when viewing the form

Have TWIC?

Yes

No

This field is hidden when viewing the form

Member Name #3

This field is hidden when viewing the form

Have TWIC?

Yes

No

Purchase Order Number(Required)

Contact Name(Required)

Telephone(Required)

Email Address

Requested Date of Service(Required)

MM slash DD slash YYYY

Reason for Service(Required)

Change of Cargo

Shipyard

Repair

Layberth

Level of Cleaning(Required)

Gas Free

Safe for entry

Chemist Certificate

Other (add in comments)

Last Three Cargos

(Required)

Cargo Oil

Clean

Black

API

Cargo #1(Required)

Cargo #2(Required)

Cargo #3(Required)

Specific areas requiring service

Compartments for Service

Spaces or Other Areas

Other Services Needed

Vendors for Attendance

Yes

No

Vendor #1(Required)

Vendor #1

Vendor #2

Vendor #3

This field is hidden when viewing the form

Comment or special instructions

By sending this scheduling form, the Company and Vessel expressly accept and agree to all the Cleaning Plant Terms and Conditions, available at www.cwofny.com/cleaning-plant-terms-and-conditions/ and upon request, as if they were all signed by the Company and Vessel and set forth at length herein.

CAPTCHA

Δ

Company Name

Vessel or Tug Name

Crew Member Name(s):

1.

Crew have TWIC?

Yes No

2.

Crew have TWIC?

Yes No

3.

Crew have TWIC?

Yes No

4.

Crew have TWIC?

Yes No

5.

Crew have TWIC?

Yes No

Purchase order number

Contact Name

Telephone

Email Address

Requested Date of Service

Reason for Service

Change of cargo Shipyard Repairs

Level of cleaning

Safe for hot work Safe for entry Other

Last Three Cargos

Clean Oil Black Oil

API Gravity

1.

2.

3.

Specific areas requiring service

Compartment number(s)

Spaces or other areas

Comments or Special Instructions

Driven by Service, Steered with Integrity

Contact Us

Privacy Policy