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USCG CG-719S 2014 free printable template

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DEPARTMENT OF HOMELAND SECURITY OMB No. 1625-0040 U.S. Coast Guard Exp. Date 01/31/2016 SMALL VESSEL SEA SERVICE FORM For Service on Vessels Under 200 Gross Tons Only Section I Applicant Information Note Complete One Form Per Vessel Name Last First Middle Vessel Name Reference Number if applicable Social Security Number Official Number or State Registration Number Length Feet Vessel Gross Tons Width if known Inches Propulsion Motor/Steam/Gas Turbine/Sail/Aux Sail Depth if known Served As...
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How to fill out cg 719s 2014 form

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How to fill out USCG CG-719S

01
Obtain the USCG CG-719S form from the official website or local Coast Guard office.
02
Read the instructions carefully to understand what sections apply to you.
03
Fill out your personal information in the designated fields, including your name, address, and date of birth.
04
Provide details of your vessel, including its name, length, and purpose of operation.
05
Disclose any medical conditions or disabilities, if applicable, as required by the form.
06
Answer questions related to your boating experience and qualifications.
07
Review your responses for accuracy and completeness before submitting.
08
Sign and date the form where indicated.
09
Submit the completed form to the relevant Coast Guard office or online as instructed.

Who needs USCG CG-719S?

01
Individuals applying for a Merchant Mariner Credential (MMC).
02
Boat operators seeking to renew or obtain a license for commercial vessel operation.
03
People who have received a medical condition or disability that needs to be assessed by the Coast Guard.

Who issues an MMC CG 719S Form?

MMC CG Form is one of the Merchant Mariner Credential Forms issued by the US Department of Homeland Security Coast Guard.

The form is to be filled out by an individual willing to apply for merchant mariner credentials to be able to operate a small sea vessel. The information the provision of which the form requires will help to establish the applicant’s domestic and international qualifications to be issued their merchant mariner credentials. It also encompasses eligibility of a merchant mariner's credential, duplicate credentials, or additional endorsements issued by the Coast Guard and establishing and maintaining continuous records of the person's documentation transactions.

In short, the data submitted on the completed form will be used by the Coast Guard personnel to make sure that an applicant is a safe and suitable person and is capable of performing the duties of the Merchant Mariner.

Who fills out MMC CG 719S Form?

This form, which is fully called a Small Vessel Sea Service Form, is applicable only when sea vessels under 200 gross tons are meant.

Should MMC CG 719S Form be accompanied by any other forms?

There is no need to support the completed Merchant Mariner Credential (MMC)CG719S form by any other documents unless the applicant is at the same time the owner of the vessel. In such a case, they should be able to provide a proof of evidence. 

When is Small Vessel Sea Service Form due?

The completion of the form does require meeting a special deadline. The MMC CG 719S Form can be filled out and submitted when the need has arisen.

How do I fill out Small Vessel Sea Service MMC CG 719S Form?

The following information should be provided to secure the form’s proper completion:

  1. Information about the applicant (full name, SSN, vessel name, official or state registration number, vessel dimensions, propulsion, name of the navigated body (or bodies) of water.)

  2. Record of underway service (at their totals)

  3. Signature and verification of the applicant.

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People Also Ask about

The Coast Guard requires that you have at least 360 days on the water since you were 16 years old. 90 of those days need to be in the last three years, this is referred to as recency. One day counts as a minimum of 4 hours on the water. You cannot have more than one day within a 24-hour time period.
0:08 5:19 How to fill out a USCG 719S Small Vessel Sea Service Form for your YouTube Start of suggested clip End of suggested clip You're gonna put in your social security number here. But don't put it in until you're getting readyMoreYou're gonna put in your social security number here. But don't put it in until you're getting ready to submit. It we're gonna say it's for the inauri one of my first boats i played. On.
0:08 5:19 How to fill out a USCG 719S Small Vessel Sea Service Form for your YouTube Start of suggested clip End of suggested clip You're gonna put in your social security number here. But don't put it in until you're getting readyMoreYou're gonna put in your social security number here. But don't put it in until you're getting ready to submit. It we're gonna say it's for the inauri one of my first boats i played. On.
What form do you use to record sea service time for the USCG? To document your experience on the water, use the Small Vessel Sea Service Form (CG-719S) and record to the best of your recollection the number of days that you were on the water in any given month and year.
For each vessel, the letter must provide: • vessel name • official number • vessel type • propulsion type • tonnage • engine horsepower (when applicable) • the beginning date of service • the end date of service • number of underway days.
The CG-719S is the Small Vessel Sea Service Form. This form is used by the Coast Guard to document and track your days and experience on the water. The CG-719S is used for any boat that's less than 200 gross tons. That includes most pleasure boats.

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The USCG CG-719S is a medical application form used by the United States Coast Guard to assess an applicant's medical history and eligibility to obtain or renew a maritime credential.
Individuals applying for or renewing a U.S. Coast Guard merchant mariner credential (MMC) are required to file the USCG CG-719S form.
To fill out the USCG CG-719S, you need to provide personal information, medical history, and answers to specific medical questions. It's important to be thorough and accurate, as incomplete or false information can affect your application.
The purpose of USCG CG-719S is to evaluate the medical fitness of individuals seeking merchant mariner credentials, ensuring they are physically and mentally able to perform their duties safely at sea.
The USCG CG-719S requires reporting of personal details, medical history, medications currently taken, any medical conditions or disabilities, as well as history of substance abuse or mental health issues.
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