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USCG CG-719B 2017-2023 free printable template
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DEPARTMENT OF HOMELAND SECURITY U.S. Coast Guard OMB No. 1625-0040 Exp. Date 03/31/2021 APPLICATION FOR MERCHANT MARINER CREDENTIAL FORM CG-719B ------ Instructions -----Who must submit this form 1. CG-719B 04/17 Reset Page 1 of 5 U.S. Registered Pilot - When only applying for an original or renewal please scan and email the completed application along with supporting documentation to GreatLakesPilotage uscg. A Have you ever been a user of/or addicted to a dangerous drug including marijuana...
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How to fill out cg 719b 2017-2023 form

How to fill out CG 719B:
01
Begin by filling out your personal information in Section I of the form.
02
Provide the details of your vessel in Section II, including its name, official number, and what type of vessel it is.
03
In Section III, indicate the purpose of the form and provide any additional information required.
04
Section IV requires you to disclose any accidents, injuries, or illnesses that have occurred on the vessel within the past three years.
05
In Section V, provide information on the medical condition of the applicant, including any medications or treatments they are currently receiving.
06
Section VI is to be completed by the medical practitioner conducting the examination, who will assess the applicant's overall health and fitness for the specified duties.
07
Finally, review the form for accuracy and completeness before submitting it.
Who needs CG 719B?
01
Any individual applying for a Coast Guard issued Merchant Mariner Credential (MMC) and intends to serve on a vessel.
02
Ship owners or operators may also be required to complete this form for their crew members as part of the licensing process.
03
Additionally, individuals seeking to renew or upgrade their existing MMC may need to fill out CG 719B.
Please note that specific requirements and procedures may vary, so it is advisable to consult the official instructions or contact the appropriate maritime authority for accurate and up-to-date information.
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