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The northern margin of Hispaniola records the oblique collision/underthrusting of the Bahamas Carbonate Province with the island-arc. Due to the collision, northern Hispaniola has suffered several natural disasters caused by major earthquakes and tsunamis, such as the historic earthquake of 1842, the tsunami caused by earthquake-driven slumping in 1918 in the Mona Passage, the seismic crisis of 1943–1953 with five events of M > 7.0 or the seismic crisis of 2003 with a main shock of M6.3 and a large aftershock of M5.3. Using new swath multibeam bathymetry data and vintage single- and multi-channel seismic profiles, we have performed a regional scale analysis and interpretation of the shallow morpho-structure and active processes along the northern margin of the Dominican Republic. We have identified three morphostructural provinces: a) the Bahamas Carbonate Province, b) the Hispaniola Trench and c) the Insular Margin, which are divided into two tectonic domains, the Collision Domain and Underthrusting Domain. The southern slope of the Bahamas Carbonate Province shows a very irregular morphology produced by active erosive processes and normal dip-slip faulting, evidence of an extensional tectonic regime and margin collapse. This collapse is of major extent in the Oblique Collision Domain where there are erosive and fault escarpments with higher dip-slip fault throws. The Hispaniola Trench is formed by the Caicos and Hispaniola basins in the underthrusting domain, and by the Santisima Trinidad and Navidad basins in the Oblique Collision Domain. They have a flat seafloor with a sedimentary filling of variable thickness consisting of horizontal or sub-horizontal turbiditic levels. The turbiditic fill mostly proceeds from the island arc through wide channels and canyons, which transports sediment from the shelf and upper slope. The Insular Margin comprises the Insular Shelf and the Insular Slope. The active processes are generated on the Insular Slope where the Northern H