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DEPARTMENT OF HOMELAND SECURITYSignature of MarinerPrintU. S. Coast Guard CERTIFICATE OF DISCHARGE TO MERCHANT MARINER OMB No. 16250012Exp. 05/31/2018 Date of Shipment Month/Day/Year (Example: 01/20/2012)Name
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Obtain a copy of the certificate of discharge form from the appropriate authority.
02
Read the instructions carefully to understand the required information and supporting documents.
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Fill out the personal details section, including your full name, contact information, and identification number.
04
Provide details about your previous employer, such as the company's name, address, and contact information.
05
Specify the exact dates of your employment and the position/title you held.
06
Provide information about your work performance, including any achievements or awards received during your employment.
07
If applicable, include details about your salary, benefits, and any pending claims or disputes with your employer.
08
Attach any necessary supporting documents, such as employment contracts, termination letters, or performance evaluations.
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Double-check all the information provided and make sure it is accurate and complete.
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Sign and date the certificate of discharge form.
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Submit the completed form along with any required fees to the appropriate authority.
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Keep a copy of the filled-out form for your records.

Who needs certificate of discharge to?

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Individuals who have recently left their employment and require proof of their work history and conduct may need a certificate of discharge.
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Potential employers, government agencies, or educational institutions may request a certificate of discharge to evaluate an individual's employment background and character.
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In some cases, individuals may also need a certificate of discharge for legal or immigration purposes.
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The specific requirement for a certificate of discharge may vary depending on the country or organization making the request.
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The certificate of discharge is a legal document that signifies the completion of obligations or duties.
The entity or individual responsible for fulfilling the obligations or duties.
The certificate of discharge should be completed by providing all required information accurately.
The purpose of the certificate of discharge is to officially acknowledge the completion of obligations or duties.
Information such as the date of completion, details of the obligations fulfilled, and any other relevant details.
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