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2. 
4. Date
   Date
5. Basin*
   -- Select One --EAST WEST
6. Slip Number*
8. Primary Berth Holder Name*
9. Email Address*
10. Phone Number*
12. Requestor

    1. I am the Primary Berth Holder
    2. I am a Registered Marina Partner
    3. I am an Authorized Contact

    IF A REGISTERED MARINA PARTNER OR AUTHORIZED CONTACT IS THE REQUESTOR THEIR NAME MUST BE LISTED IN THE APPROPRIATE FORMS. 

14. Registered Partner Name *

    Please note the Primary Berth Holder may be contacted regarding the request. 

    
    

15. Authorized Contact Name *

    Please note the Primary Berth Holder may be contacted regarding the request. 

19. Request Type *
    -- Select One --New/ Replacement KEY FOBNew/ Replacement PARKING PERMITVendor Access Request In-Office AppointmentContact Information Update Billing/ Account Inquires
21. Key Fob *

    1. I am requesting a new key fob
    2. My key fob has been lost
    3. My key fob has stopped working

    Please note all NEW key fob request will be reviewed by the office. All tenants receive 2 key fobs for personal use and each Marina Registered partner receives 1 key fob. A maximum of 2 additional key fobs may be purchased by the primary berth holder for vendors or additional users. All additional key fobs must have a registered user assigned to them. 

    
    

23. Key Fob User *

    1. The key fob is for MYSELF
    2. The key fob is for a MARINA REGISTERED PARTNER
    3. The key fob will be used by a vendor regularly working on my boat
    4. The key fob will be used by someone on my authorized contact list
24. Key Fob Return *

    1. I will mail my broken key
    2. I will drop off my key in an envelope at the Marina Office

    ***When mailing or dropping off  the key fob back please include the slip number in the envelope. If the old key fob is not returned within 30 days your account will be billed $34.00. ***

25. Delivery Method *

    1. I would like my key fob mailed to me
    2. I will be picking up my key fob during regular business hours
    3. I would like to make a weekend appointment to pick up my key fob

    If you would like your new key fob mailed please add your address in additional details. 

26. Pickup Date *
    Pickup Date

    Key fobs will only be held for 30 days after the scheduled pick up date. The tenant is responsible  for updating the marina office on new pick up date or submitting a new request after 30 days. 

28. Parking Permit

    1. I am requesting a NEW Parking Permit
    2. I am need a Replacement Parking Permit
    3. I am requesting a TEMPORARY Parking Permit

    Please note all NEW parking permit request will be reviewed by the office. All tenants receive 2 parking permits for personal vehicles and each Marina Registered partner receives 1 permit. Additional permits may be purchased at the discretion of the Marina office and with approval of the Harbor Master. 

30. Parking Permit User *

    1. This Parking Permit is for MYSELF
    2. This Parking Permit is a MARINA REGISTERED PARTNER
    3. The Permit is for a vendor working on my boat Regularly
31. Temporary Parking Permit*

    1. The Temporary Permit is for a vendor working on by boat
    2. The Temporary Permit is for a personal friend/visitor
    3. The Temporary Permit is for a rental vehicle I will be using
32. Delivery Method*

    1. I would like my parking permit mailed to me
    2. I will be picking up my parking permit during regular business hours
    3. I would like to make a weekend appointment to pick up my key fob

    If you would like your parking permit mailed please add your address in additional details.

    
    

33. Replacement Reason *

    1. My sticker was stolen
    2. The area where my sticker was posted was broken and needed to be replace replaced
    3. Other
35. Vehicle Registration *
36. Other *
37. Parking Permit Pick-up Date *
    Parking Permit Pick-up Date
38. Temporary Parking Permit Days *
    Temporary Parking Permit Days Start Date

    —

    Temporary Parking Permit Days End Date

    Limited to 7 consecutive days at a time. 

40. Company Name*
41. Vendor First and Last Name*
43. Length of Vendor Access*
    -- Select One --1 day2 days or more days

    Please enter the first and last day of expected access in the next section. If the dates are not consecutive please list them in Additional Information. 

44. Access Date *
    Access Date
45. Access Date*
    Access Date Start Date

    —

    Access Date End Date
46. Will your vendor require a parking pass? *

    1. Yes
    2. No

    Parking permits will only be issued for listed access days. 

48. Operator Name *

    This is the person that will be driving. 

49. Vehicle Make *
50. License Plate *
52. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature. I agree to inform my vendor of all Marina Rules and Regulations and will ensure that my vendor understands that they must follow these rules regulations while conducting work on my vessel. I further understand that and agree that I am responsible for any damage that my vendor may cause while conducting work in the Marina during the day(s) I have provided access.*
54. Reason For Appointment *

    1. Vessel Measurement
    2. Key Fob Pick-Up
    3. Parking Permit Pick-Up
    4. Account/ Billing Inquiry
    5. New Agreement Set-Up
    6. Other

    Please note that all appointments will be confirmed via Email by a member of the Marina Office Staff. You must have a confirmation email for weekend and vessel measurement appointments. 

55. Other*

    Continue to describe the reason for your visit in additional details. 

56. Date and Time*
    Date and Time

    Date and Time
58. Name*
59. Email Address*
61. Address*
63. City*
64. State*
65. Zip Code*
67. Phone Number*

    Please note you will receive a confirmation email once the contact information has been updated. 

69. Billing/ Account Inquiry *

    Please submit a full description. Staff will gather all relevant information and respond via email in a timely manner. 

71. I would like to add additional details about my request. *

    1. Yes
    2. No
73. Additional Request Information *
75. I would like to be contacted by phone to discuss my request. *
    -- Select One --YesNo
76. Phone Number*

78. **All request will be addressed in the order that they are received. If you would like a status update on your request please call 415-831-6322 or email  recsfmarina@sfgov.org**

    
    

    All after hour requests will be reviewed the following day during business hours. 

Leave This Blank:


79. 1. Receive an email copy of this form.
80. Email address

    This field is not part of the form submission.

81. Submit

* indicates a required field