Maritime Employment Rights Waiver Form
Maritime Employment Rights Waiver Form
Employee Name
*
First Name
Last Name
Work Email
*
example@example.com
Employer
*
Job Title
*
Vessel Name
*
Role Aboard Vessel
*
Assignment Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Specific Scope of Waiver or Release
*
Employee Signature
*
Submit
Submit
Should be Empty: