MSAR response form
This form is to be used by registered marine search and rescue organisations to report a response to a marine incident.
Submit this form online
The Marine Incident Response Record can be completed online by MSAR agencies here
Note: An MIR number provided by Victoria Police is required prior to completing this form.
If you are unable to complete the form online, it can be downloaded:
Marine Incident Response Record DOCX, 114.2 KB
Fax: 03 9655 6611 Mail: PO Box 2797 Melbourne VIC 3001
Transport Safety Victoria (TSV) collects and holds the personal information provided in this application to assist the Director, Transport Safety (Safety Director) to administer the Marine Safety Act 2010 (Vic) and Marine Safety Regulations 2012 (Vic).
TSV is committed to protecting personal information in accordance with its obligations under the Marine Safety Act 2010 (Vic).
The personal information provided in this form may be disclosed to other government agencies in accordance with section 306 of the Marine Safety Act 2010 (Vic) and section 177 of the Transport Integration Act 2010 (Vic).
It is an offence under the Marine Safety Act 2010 (Vic) to give information that is false or misleading.
The individuals whose personal information is collected on this application have a right to seek access to this personal information and to seek correction of any error in the personal information held.
All individuals whose personal information is included with this application should be informed of this fact. For more information on privacy please refer to TSV's privacy statement at transportsafety.vic.gov.au/privacy.