Service Request Form | Emergency Marine Solutions, LLC

EMS Marine Service Request

Please complete this form with accurate information so our technicians can access your vessel and provide fast, professional service. Incomplete information may delay scheduling.

24/7 Emergency Service Available

Call Now: (813) 750-9989

Client Information

Full Name *

Phone Number *

Email Address *

Preferred Contact Method

Call

SMS

Service Location

Marina / Property Name

Address of Vessel Location *

City

State

Zip Code

Vessel Location Status

How Did You Find Us?

Is this a gated community or restricted marina?

Yes

Vessel Information

Boat Manufacturer / Brand

Model

Year

Vessel Length (ft)

Engine Type

Engine Brand

Number of Engines

Hull ID Number (Optional)

Service Details

Type of Service Requested

Engine Diagnostics

Electrical Issue

Seakeeper Service

Routine Maintenance

Emergency Repair

Request Cancellation

Other

Please Describe the Issue *

Is the vessel currently operational?

Yes

Not Sure

Vessel Access

IMPORTANT: Our technician must have full access to the vessel at the scheduled service time. Please ensure the vessel is unlocked and keys are available, or that access instructions are clearly provided.

Will the technician have access to the vessel? *

Yes

Are the vessel's keys available?

Scheduling

Preferred Service Date

Preferred Time Window

Morning

Afternoon

Flexible

🚨 Emergency

Photos (Optional but Recommended)

Upload photos of the engine, dashboard error codes, or any visible damage. This helps our technicians arrive better prepared.

Click to upload photos

Engine photos, error codes, damage photos — JPG, PNG, MP4

Terms & Service Consent

I confirm that the technician will have full access to the vessel and that keys or access instructions will be available at the time of service. I understand that if the technician cannot access the vessel upon arrival, a service call fee may still apply. *

By checking this box, you agree to receive SMS messages from EMS regarding service updates, appointment reminders, and invoices. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out. *

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Please confirm both consent checkboxes above to submit.

For immediate emergencies, call (813) 750-9989

Tampa Bay Area's premier mobile marine repair service. Licensed, insured, and ready to respond 24/7.

Services

Engine Repair
Electronic Systems
Diagnostics
Emergency Service

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Contact

Contact Us

(813) 750-9989 support@emergencymarinesolutions.net

Mon-Fri: 8am-5pm
Sat-Sun: Emergency Only

SMS Disclosure: Emergency Marine Solutions, LLC may send SMS messages related to service requests, appointment updates, and service notifications. Message frequency varies. Message and data rates may apply. Reply STOP to unsubscribe or HELP for assistance.

Licensed & Insured Marine Technicians