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DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG 719S (REV 03/04) OMB 16250040 Small Vessel Sea Service Form Expires 06/30/2012 PAGE 1 Section I Applicant Information (Note: Complete One Form per

How to fill out cg 719s rev 0304

How to fill out cg 719s rev 0304:

1. Start by downloading the CG 719S form from the official website of the U.S. Coast Guard.
2. Begin filling out the form by providing your personal information, such as your full name, address, contact number, and date of birth. Make sure to double-check the accuracy of the details.
3. Identify the vessel for which you are completing the form. Input the vessel's name, official number, and hailing port.
4. Specify your role in the vessel, whether you are the owner, operator, master, or crew member.
5. If applicable, provide the details of the previous vessels you have served on in the past three years.
6. Fill in information related to any previous accidents or marine casualties, including the date, description, and the extent of damage or injury incurred.
7. Indicate whether you have ever had your license, certificate of registry, or merchant mariner document suspended or revoked.
8. Answer the medical questions truthfully, including any conditions or medications that may affect your ability to perform your duties safely.
9. Sign and date the certification statement, affirming that the information provided is accurate and complete to the best of your knowledge.
10. After completing the form, make a copy for your records before submitting it to the appropriate authorities or keeping it with your important documents.

Who needs cg 719s rev 0304:

1. Any individual who is applying for or renewing their Merchant Mariner Credential (MMC) issued by the U.S. Coast Guard may need to fill out CG 719S rev 0304.
2. This form is typically required for mariners seeking qualifications as officers, pilots, or ratings in the merchant marine.
3. It is essential for individuals looking to work on commercial vessels, including both passenger and cargo ships, as well as offshore drilling platforms.
4. The CG 719S rev 0304 is necessary for those who wish to operate specific types of vessels, including towing vessels, fishing vessels, and mobile offshore drilling units.
5. Additionally, mariners seeking employment in the offshore oil and gas industry or with companies engaged in maritime operations may also need to complete this form.
6. It is crucial to consult the latest regulations and specific employer requirements to determine if CG 719S rev 0304 is necessary for your particular situation.
7. Failure to accurately complete and submit this form may result in delays in obtaining or renewing a Merchant Mariner Credential or may even lead to the rejection of the application altogether.

For pdfFiller’s FAQs

What is cg 719s rev 0304?

CG-719S Rev 03-04 is the Application for Merchant Mariner Credential.

Who is required to file cg 719s rev 0304?

Any individual applying for a Merchant Mariner Credential is required to file CG-719S Rev 03-04.

How to fill out cg 719s rev 0304?

CG-719S Rev 03-04 can be filled out online on the U.S. Coast Guard National Maritime Center website or manually by completing the form and submitting it by mail.

What is the purpose of cg 719s rev 0304?

The purpose of CG-719S Rev 03-04 is to gather information from individuals applying for a Merchant Mariner Credential.

What information must be reported on cg 719s rev 0304?

CG-719S Rev 03-04 requires information such as personal details, employment history, sea service, training certifications, and medical history.

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