Cruise/Project Title*
PI Email*
Principal Investigator (PI)*
PI Phone*
Additional Contact Details*
Account Type* ODURF State Class Other
Account Number*
Billing Address (if outside the University)
ETD (Date)*
ETD (Time)*
Staging Time(hrs)*
ETA (Date)*
ETA (Time)*
Weather Days(dates)*
Cruise Objective/ Operation Area*
Number of Passengers*
Chief Scientist and other onboard personnel (name, position)*
Medical Considitons
Disabled Personnel
Foreign Nationals
Other (specify)
Request for Equipment Provided by ODU*
Equipment Supplied by Project:*
Hazardous Materials?
If Yes, please specify
Have you read the ship's policies and procedures?
Submitted By*
Date*