If your company is not currently enrolled, please go to new membership application

Note: Please have your renewal invoice handy for reference information.

Important: if renewing one person, please click here for a notice

"*" indicates required fields

Company*

Contact Person*

Account Number*

Email*

Phone*

Street Address*

Address Line 2

City*

State*

Zip Code*

Vessel IDs

Click here for regulation

Renewals

Enter Social Security Numbers or MID Numbers for members that are to be renewed (already listed on your invoice).

Total Number of Crew to Renew

Crew to Renew*

Click the + to add additional crew members

Name

Social Security or MID Number

Crew to Renew*

Click the + to add additional crew members

Name

Social Security or MID Number

Crew to Renew*

Click the + to add additional crew members

Name

Social Security or MID Number

Crew Members to Add

Enter full name, Social Security Number, date of birth, and pre-employment status for any new crewmembers that are to be added. If you mark a crewmembers as exempt, you must provide us with a negative DOT test dated within the last 6 months or a letter of compliance, on Company letterhead, dated within the last 30 days. Please email to info@drugfreevessel.com

Note: Maritime ID Cards will be issued upon receipt of documentation of pre-employment status.

Number of Crew Members to Add*

Crew Members Who Need a Test

Crew Members Who Are Exempt

Add Crew Members That Need a Test

Click the + to add additional crew members

Name

Social Security

Date of Birth

Pre-Employment

License Status

Add Crew Members That Are Exempt

Click the + to add additional crew members

Name

Social Security

Date of Birth

Pre-Employment

License Status

Note: Maritime ID Cards will be issued upon receipt of documentation of pre-employment status.