Form BOEM-1019 Insurance Certificate

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Form BOEM-1019 Insurance Certificate

What Is Form BOEM-1019?

This is a legal form that was released by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement on January 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form BOEM-1019?
A: Form BOEM-1019 is an Insurance Certificate.

Q: What is the purpose of Form BOEM-1019?
A: The purpose of Form BOEM-1019 is to provide proof of insurance coverage for activities on the Outer Continental Shelf (OCS).

Q: Who needs to submit Form BOEM-1019?
A: Operators and contractors involved in oil and gas activities on the Outer Continental Shelf (OCS) need to submit Form BOEM-1019.

Q: What information is required on Form BOEM-1019?
A: Form BOEM-1019 requires information about the insured party, insurance provider, coverage details, and contact information.

Q: Is Form BOEM-1019 specific to a certain region?
A: Yes, Form BOEM-1019 is specific to activities on the Outer Continental Shelf (OCS) within the United States.

Q: Are there any fees associated with submitting Form BOEM-1019?
A: No, there are no fees associated with submitting Form BOEM-1019.

Q: How often do I need to submit Form BOEM-1019?
A: You need to submit Form BOEM-1019 annually or whenever there is a change in insurance coverage.

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Form Details:

  • Released on January 1, 2017;
  • The latest available edition released by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form BOEM-1019 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Interior - Bureau of Safety and Environmental Enforcement.

Download Form BOEM-1019 Insurance Certificate

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