CG 2554 form CODE

<!DOCTYPE html>
<html lang=”en”>
<head>
<meta charset=”UTF-8″>
<meta name=”viewport” content=”width=device-width, initial-scale=1.0″>
<title>CG-2554 Private Aids to Navigation Application</title>
<style>
body { font-family: Arial, sans-serif; margin: 40px; line-height: 1.6; }
h1, h2 { text-align: center; }
form { max-width: 900px; margin: 0 auto; }
label { display: block; margin-top: 15px; font-weight: bold; }
input[type=”text”], input[type=”email”], textarea, select { width: 100%; padding: 8px; margin-top: 5px; box-sizing: border-box; }
.section { margin-bottom: 30px; border: 1px solid #ccc; padding: 15px; }
.radio-group label { display: inline; font-weight: normal; margin-right: 15px; }
button { display: block; margin: 20px auto; padding: 10px 20px; font-size: 16px; }
</style>
</head>
<body>

<h1>U.S. Coast Guard</h1>
<h2>Private Aids to Navigation Application (CG-2554)</h2>
<p style=”text-align:center;”>For Establishment of a Moored Floating Navigational Aid / Maritime Utility Structure</p>
<p style=”text-align:center;”>Submit to: U.S. Coast Guard Sector Guam, District 14</p>

<form action=”#” method=”post”>

<!– Section 1: Action Requested –>
<div class=”section”>
<h2>1. Action Requested</h2>
<div class=”radio-group”>
<label><input type=”radio” name=”action” value=”establish”> Establish and maintain</label>
<label><input type=”radio” name=”action” value=”discontinue”> Discontinue</label>
<label><input type=”radio” name=”action” value=”change”> Change</label>
<label><input type=”radio” name=”action” value=”transfer”> Transfer ownership</label>
</div>
</div>

<!– Section 2: Applicant Information (Primary Owner) –>
<div class=”section”>
<h2>2. Applicant Information (Primary Owner)</h2>

<label>Name of Applicant / Company:</label>
<input type=”text” name=”applicant_name”>

<label>Address:</label>
<input type=”text” name=”address” placeholder=”Street address”>

<label>City:</label>
<input type=”text” name=”city”>

<label>State / Territory:</label>
<input type=”text” name=”state” value=”GU”>

<label>ZIP Code:</label>
<input type=”text” name=”zip”>

<label>Phone Number:</label>
<input type=”text” name=”phone”>

<label>Email Address:</label>
<input type=”email” name=”email”>

<label>Point of Contact (if different from applicant):</label>
<input type=”text” name=”poc”>
</div>

<!– You can continue adding more sections here if needed (location of aid, description, drawings, etc.) –>

<button type=”submit”>Submit Application</button>
</form>

<p style=”text-align:center; font-size:0.9em; margin-top:50px;”>
This is a simplified HTML version of the CG-2554 form for demonstration / local use.<br>
Official submissions must use the current USCG PDF form or follow Sector Guam instructions.
</p>

</body>
</html>

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