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DHS CG-5139 2004-2026 free printable template

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Approved RCN-5103-2 REPORT NUMBER RNO U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-5139 Rev. 6-04 SOUND LEVEL SURVEY REPORT SOUND LEVEL METER CALIBRATED MFG. INITIAL SURVEY MODEL TYPE OTHER INDOOR SN OUTDOOR Wind Screens Will Be Used On All Measurements Indoors and Outdoors ILLUSTRATE PAGE 2 WITH DESCRIPTION OF AREA WHERE NOISE SURVEY IS CONDUCTED PLUGS IDENTIFY SPECIFIC WORK LOCATION AND NOISE SOURCE DBA READING DBC FULL NAME RATE OR JOB TITLE AND SSN OF EXPOSED PERSONNEL TWA...
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Obtain the DHS CG-5139 form from the official website or your local DHS office.
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Fill in the identification section with your full name, address, phone number, and email.
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Specify the purpose of the form in the designated area.
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Provide any required documentation that supports your request.
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Review the form for accuracy and completeness.
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Sign and date the form at the bottom.
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Submit the completed form to the appropriate DHS office or via the specified submission method.

Who needs DHS CG-5139?

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Individuals applying for a specific benefit or service requiring approval from DHS.
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Anyone needing to update or confirm their information with DHS.
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Agencies or organizations working with individuals who require assistance from DHS.
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DHS CG-5139 is a form used by the U.S. Coast Guard for reporting certain maritime safety and security information.
Vessels that are subject to regulations under maritime safety and security laws, such as commercial vessels and certain recreational boats, are required to file DHS CG-5139.
To fill out DHS CG-5139, you need to provide the requested vessel information, including identification details, operation details, and any relevant crew or passenger information as outlined in the form instructions.
The purpose of DHS CG-5139 is to ensure compliance with maritime safety and security regulations and to facilitate reporting on vessel activities to prevent unlawful actions at sea.
Information that must be reported on DHS CG-5139 includes vessel identification, entry and departure ports, the nature of the voyage, crew details, and any other pertinent operational information.
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