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Commanding Officer United States Coast Guard National Maritime Center 150 East Burr Blvd Kernersville, WV Phone: (304) 7289100 Fax: (304) 7287373 Email: Masonic USCG.mil Sept 13, 2007 PDFApplicationForm(CG719B)

How to fill out cg 719b form

How to fill out CG 719b:

1. Begin by obtaining a copy of the CG 719b form. This form is specifically used for submitting an application for a Merchant Mariner Credential (MMC) or for a renewal or endorsement of the MMC.
2. Fill in the personal information section. This includes providing your full name, date of birth, social security number, mailing address, and contact information.
3. Provide information about your citizenship. Indicate whether you are a U.S. citizen, a lawful permanent resident, or a non-U.S. citizen. If you are a non-U.S. citizen, you will need to provide additional documentation.
4. If you have previously held a merchant mariner credential, provide details about your previous credential, such as the type, number, and issuing country.
5. Specify the desired endorsement or qualification you are applying for. This can be for various positions such as Able Seaman, Chief Mate, Ordinary Seaman, or Engineer, among others.
6. Fill in information about your sea service. This includes documenting the vessels you have served on, the length of service, tonnage of the vessel, position held, and the nature of the vessel (e.g., fishing vessel, research vessel, passenger vessel, etc.).
7. If required, provide information about your drug and alcohol testing compliance history. This includes details about any positive tests, refusals, or completion of a Substance Abuse Professional (SAP) evaluation and/or treatment program.
8. Sign and date the form once you have completed all the required sections. Ensure that you have provided any additional supporting documentation that may be required, such as copies of your certifications or training courses.

Who needs CG 719b:

1. Individuals who are seeking to obtain or renew a Merchant Mariner Credential (MMC) will need to fill out the CG 719b form. This form is specifically designed for this purpose and is required by the U.S. Coast Guard.
2. Sailors who wish to apply for endorsements or qualifications for various positions within the maritime industry will also need to complete the CG 719b form. This includes positions such as Able Seaman, Chief Mate, Ordinary Seaman, and Engineer, among others.
3. Additionally, individuals who had previously held a merchant mariner credential and are seeking to reapply or make changes to their previous credentials will also need to utilize the CG 719b form.

It is important to carefully fill out the CG 719b form and provide all the necessary information accurately. Any errors or omissions can delay the processing of your application or even result in its rejection. Therefore, it is advised to carefully review the instructions provided with the form and seek assistance if needed.

For pdfFiller’s FAQs

What is cg 719b?

CG 719B is the Application for Merchant Mariner Medical Certificate.

Who is required to file cg 719b?

All merchant mariners are required to file CG 719B.

How to fill out cg 719b?

CG 719B can be filled out online on the Coast Guard's website or physically at a Coast Guard Regional Exam Center.

What is the purpose of cg 719b?

The purpose of CG 719B is to determine if a mariner meets the medical and physical standards for the position they hold or are applying for.

What information must be reported on cg 719b?

CG 719B requires information about the mariner's medical history, physical examination, and any medications they are currently taking.

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