Free Ballast Water Fee Return - California

BOE-501-BWF (FRONT) REV. 6 (1-09)

BOARD OF EQUALIZATION

BOE USE ONLY
RA-B/A RR-QS AUD FILE REG REF

STATE OF CALIFORNIA


BALLAST WATER FEE RETURN
DUE ON OR BEFORE

[ FOID

]


YOUR ACCOUNT NO. EFF

BOARD OF EQUALIZATION
ENVIRONMENTAL FEES DIVISION
PO BOX 942879
SACRAMENTO CA 94279-6001

READ INSTRUCTIONS
BEFORE PREPARING


GENERAL INFORMATION
Existing law authorizes the State Lands Commission to impose a fee on owners or operators of vessels for the purpose
of funding a program for the management of ballast water discharge. The State Board of Equalization (BOE) is
authorized to collect the fee for deposit into the Marine Invasive Species Control Fund. The fee is due from the owner or
operator of a vessel every time that vessel arrives at a California port from a port outside of California.
FILING REQUIREMENTS
This return must be filed, and the fees paid to the BOE on or before the last day of the calendar month following the end
of the return reporting period. Schedule A must be completed to provide the information requested for each vessel that
arrived at a California port from a port outside of California during the reporting period.
FILING INSTRUCTIONS
Please complete Schedule A, attached. List, in date order, all vessels that arrived at a California port from a port outside
of California during the reporting period. Each such arrival is a voyage that is subject to the ballast water management
fee. Enter the total number of voyages subject to the fee in Box A and carry that number forward to line 1 on the return.
Multiply line 1 by line 2 to determine the amount due.
PAYMENTS
Check or money order should be made payable to the State Board of Equalization.
Credit card payments can be made with Discover/Novus, MasterCard, VISA, or American Express. Other credit cards
cannot be accepted. EFT accounts are not eligible for credit card payments. Credit card payments can be made by
calling 800-272-9829 or through our website at www.boe.ca.gov. Click on the eServices tab and select credit card
payments. After authorizing your payment, check the box on your return indicating you have paid with a credit card.
Be sure to sign and mail your return.
Electronic Funds Transfer (EFT) must be initiated on or before the due date of the return and the funds must be
transferred into the Board of Equalization bank account on the first banking day following the day the payment is initiated
to be considered timely.
Please be advised that making your payment by EFT does not relieve you from the requirement to file your return by the due date.
If you are not registered to pay by EFT and would like to be, please contact us at 916-322-9534.

Round cents to the
nearest whole dollar


1. Number of vessel voyages subject to the Ballast Water Management Fee for the month (from Box A on Schedule A) 2. Rate of fee per voyage 3. Total amount due (multiply line 1 by amount shown on line 2) 4. Penalty [multiply line 3 by 10% (0.10) if payment is made after due date] 5.
INTEREST: One month's interest is due on the total fee for each month or fraction of a month that payment is delayed after the due date. The adjusted monthly interest rate is

1. 2. 3.
PENALTY INTEREST

$ $ $ $ $
.00 .00

4. 5. 6.

6. TOTAL AMOUNT DUE AND PAYABLE (add lines 3, 4, and 5)

IF PAID BY CREDIT CARD, CHECK HERE (Mandatory EFT accounts MUST pay by EFT).
I hereby certify that this return, including any accompanying schedules and statements, has been
examined by me and to the best of my knowledge and belief is a true, correct, and complete return.

PRINT NAME AND TITLE SIGNATURE TELEPHONE NUMBER DATE


(

)


Make check or money order payable to State Board of Equalization.
Always write your account number on your check or money order. Make a copy of this document for your records.


BF


BOE-501-BWF (BACK) REV. 6 (1-09)


SCHEDULE A - BALLAST WATER FEE SCHEDULE

DATE OF
ARRIVAL IN
CALIFORNIA
VESSEL NAME
LLOYD'S NUMBER
PORT OR PLACE OF
ARRIVAL IN CALIFORNIA
(First port or place only)
PORT PRIOR TO
ARRIVAL IN CALIFORNIA


1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.


TOTAL VOYAGES
Enter the total number of
voyages subject to the fee
and carry this amount to Line 1
on the front of the return.


BOX A


IF MORE SPACE IS NEEDED, YOU MAY MAKE A PHOTOCOPY AND ATTACH ANY ADDITIONAL PAGES

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