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8440 4th Street North, St. Petersburg, FL 33702, (727) 577-3992, Fax (727) 522-3155 INSTRUCTIONS FOR COMPLETION OF COAST GUARD FORMS Enclosed are forms and examples to be used when completing the
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How to fill out cg-719b - US Coast:

01
Begin by entering the vessel's name, official number, and hull identification number in the appropriate fields.
02
Provide the vessel's service or employment, such as fishing, ferry, or recreational.
03
Indicate whether the vessel is powered by machinery, sail, or both.
04
Enter the applicant's personal information, including their full name, contact details, and position on the vessel.
05
Answer the questions regarding the applicant's nationality and citizenship status.
06
Provide information about the applicant's experience, including the number of years spent on vessels and the types of vessels worked on.
07
Answer the specific questions related to the applicant's qualifications for the position, such as knowledge of safety regulations, firefighting skills, and first aid training.
08
Fill in the details of any previous marine incidents or accidents the applicant has been involved in.
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Provide information about any convictions or penalties related to drug or alcohol offenses.
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Sign and date the form to certify the accuracy of the information provided.

Who needs cg-719b - US Coast?

01
Individuals who are applying for a position on a US Coast Guard-regulated vessel.
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Operators and owners of vessels that require crew members to fill out this form as part of the hiring process.
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Maritime authorities and agencies responsible for enforcing compliance with US Coast Guard regulations.
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The cg-719b form is used by the US Coast Guard to evaluate an applicant's medical fitness for specific positions.
Individuals applying for certain positions within the US Coast Guard are required to file the cg-719b form.
The cg-719b form must be completed by the applicant and a healthcare provider, detailing medical history, physical examination results, and any medications being taken.
The purpose of the cg-719b form is to ensure that applicants meet the medical standards set by the US Coast Guard for specific positions.
Information such as medical history, physical examination results, medications being taken, and any disabilities or conditions that may affect job performance must be reported on the cg-719b form.
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