Page 1 of 2 Rev 00-08 template 95

barbados maritime

ACCOUNT OF PROPERTY OF A DECEASED SEAMAN

SHIPPING ACT 1994

Name of Ship, Port of Registry
Official Number / Name and address
of employer / Full name of seaman
(BLOCK LETTERS) / Age / Capacity in which employed / Reference Number in Agreement/Crew List
Discharge Book Number (if any) / Date and place of discharge / Date and place of death / Date wages began / Date wages ceased
Address of seaman shown in Agreement/List of Crew / Name and relationship of next of kin as shown in Agreement/List of Crew.
Also give address if different from that of seaman
Wage, money left on board and/or proceeds of
sale of property / Amount
$ c / Inventory of articles sold and amount received for each item / Amount

$ c / Deductions
Note: All deductions made, as far as possible, to be proved by receipts or entries in the official log book / Amount

$ c / Initials of proper officer against each item
Wages at $…. per ……
for ……….months…….days
or ……….weeks………days
increase in wages
(Promotion etc.)
……months………..days…..
at $………per month………
………..weeks…….days…...
at $…….. per week………...
Overtime
…….hours at ……..per hour
…….hours at ……..per hour
Other earnings (detail)
Leave pay
……………………………..
Total earnings………………
Deductions per account
Balance of wages due to seaman (if the seaman I in debt to the employer the word NIL must be entered in the money column.)

Money left on board by
deceased …………………...
Proceeds of sale of property
Net amount paid to / Inventory of unsold articles see overleaf / Cash advances…………………..
Allotments………………………..
Fines deducted pursuant to the Shipping Act, 1994
National Insurance
for ………….weeks at ……… per
week (Contributions to be deducted up to the date of death only).
Forfeitures deducted pursuant to the Shipping Act 1994
Canteen account ………………….
Stores account ……………………
Radio, postage and
telephone …………………………
Other deductions …………………
(Full details must be given)
Total deductions /

INVENTORY OF UNSOLD ARTICLES BELONGING TO DECEASED SEAMAN

declare the account overleaf and the inventory above to be true and just.

Dated this ……………… day of ………………. 20…………

Signature of Master ……………………………..