Town of Bristol, RI
 
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Instructions

Please complete the application, then click the "Next" button below. For help on any field, move the mouse over the field name.

Instructions
This form must be completed and submitted to the Harbormaster's Office at the time of payment.

This application is in accordance with the Town of Bristol's Mooring Rules and Dock Regulations. Visit www.municode.com to view all Bristol ordinances regarding Chapter 8, Harbors and Vessels.

Wait List Application Fee: $25
Provider Name
Bristol
Provider Mailing Address
10 Court Street

Bristol, RI 02809-7000
Provider Phone
4012531700
Provider FAX
(401) 253-1706
Provider Email
jalves@bristolri.gov

Application

Reference Number
QMLXUOHE
Application Status
Unknown
Application Type
Wire Permit

Applicant

Mobile Phone
First Name
Middle Name
Last Name
Suffix
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Local Street Name
Local City
Local State
Local Zip Code
Home Phone (Summer)
Home Phone (Winter)
Work Phone
Email Address
Additional Information
Applicant Comments
Class
Emergency Contact
Emergency Contact Phone
Emergency Contact E-mail

Vessel

Registration State
Reg or Doc #
Vessel Name
Hull ID
Vessel Type
Size
Length
  feet     inches
Beam
  feet     inches
Draft
  feet     inches
Characteristics
Vessel Make
Vessel Color
Accessories
MSD
Other
Vessel Photo(s)
(Maximum file size=10MB)
MSD Decal Number
MSD Certifying Agent
Vessel Comments

Berth

Inspection
Seasonal Status

Attachments

Please provide attachments below, preferably in a PDF or image format. To convert a paper document to electronic format, take a photo of the document.
If we have a current copy on file, you will see a link to it. Update the attachment if it has changed, or if requested.
Vehicle Registration
Filename
 
(Maximum file size=10MB)
Expiration Date
 
Driver’s License *
Filename
 
(Maximum file size=10MB)
Expiration Date
 
Current Utility Bill *
Applicants Applying or Renewing their application and claiming Bristol,RI Residency MUST upload a current Utility Bill.
NOTE: The ONLY acceptable Utility Bills are electric or gas.
Filename
 
(Maximum file size=10MB)
Boat Insurance
Boat Insurance meeting the $250,000 minimum coverage with Town Of Bristol,RI named as the additional insured on the rider.
Filename
 
(Maximum file size=10MB)
Expiration Date
 

Acceptance

Terms and Conditions
I understand and agree to all ordinances, dock agreement rules and regulations on file. Sec. 8-64. - Permitting slips at town docks

I have read and understand the Online Mooring User Terms and Conditions
I have read and accept these terms
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