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MACN Secure Incident Reporting - Individual Incidents

General Information

1. Is your company a member of MACN? (Voluntary question)
2. Size of your company (Voluntary question)
3. What is your role/position? (Voluntary question)
This question requires a valid date format of MM/DD/YYYY.
7. How often do you call this port? (Please select the most applicable option, Voluntary question)
8. What was the type of vessel? (Mandatory question) *This question is required.