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DEPARTMENT OF HOMELAND SECURITY. S. Coast Guard APPLICATION FOR MERCHANT MARINER CREDENTIAL (MMC)OMB No. 16250040 Exp. Date: 06/30/2012Section I personally Data See instructions at the end of the

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How to fill out cg719b - reginfo

How to fill out cg719b:

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First, gather all the necessary information and documentation required to complete the form, such as personal details, contact information, medical history, and any relevant incident details.

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Provide details about your medical history, including any pre-existing conditions, allergies, or medications you may be currently taking. It is important to be thorough and accurate in this section.

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If applicable, provide information about the incident or injury that prompted the need for filling out the cg719b form. Include details such as the date, time, location, and description of the incident.

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Keep a copy of the filled-out cg719b form for your records.

Who needs cg719b:

01

Coast Guard personnel who have been involved in an incident, accident, or injury while on duty.

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Individuals who have witnessed a Coast Guard incident and have relevant information to report.

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Medical professionals who have treated or examined Coast Guard personnel following an incident and need to provide detailed information for further evaluation or reporting purposes.

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Coast Guard administrative staff responsible for documenting incidents and managing the necessary paperwork for official records.

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What is cg719b?

The CG719b form is used for reporting marine casualties, commercial diving casualties, and occupational diseases to the U.S. Coast Guard.

Who is required to file cg719b?

Owners, operators, masters, agents, and persons in charge of vessels involved in marine casualties, commercial diving casualties, and occupational diseases are required to file CG719b.

How to fill out cg719b?

CG719b can be filled out electronically on the U.S. Coast Guard website or manually by following the instructions provided on the form.

What is the purpose of cg719b?

The purpose of CG719b is to provide the U.S. Coast Guard with information on marine casualties, commercial diving casualties, and occupational diseases for investigation and analysis purposes.

What information must be reported on cg719b?

Information required on CG719b includes details of the incident, vessel information, personnel involved, injuries sustained, and actions taken.

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