USCG CG-2692B 2018 free printable template

Name PRINT Last First Middle 11. Signature 13. Title 15. Telephone No. 16. Email CG-2692B 04/18 12. Date Page 1 of 2 Reset INSTRUCTIONS FOR COMPLETION OF FORM CG-2692B Report of Chemical Testing Following a Serious Marine Incident Involving a Commercial Vessel An agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a valid OMB control number. Http //www. uscg. mil/top/units/ 6. Upon receipt of a report of chemical test...

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How to fill out USCG CG-2692B

1. Obtain the USCG CG-2692B form from the U.S. Coast Guard's official website or your local Coast Guard office.
2. Start by filling out the vessel information section, including the vessel name, official number, and hull identification number.
3. Next, provide details about the owner of the vessel, including name, address, and contact information.
4. Complete the section regarding the documentation history of the vessel, including past ownership and any prior documentation.
5. Fill out any applicable sections for vessel type, including its intended use and construction details.
6. Sign and date the form where indicated, confirming that all provided information is accurate to the best of your knowledge.
7. Submit the completed form to the appropriate U.S. Coast Guard office either in person or via mail.

Who needs USCG CG-2692B?

1. Individuals or companies seeking to document their vessel with the U.S. Coast Guard.
2. Owners of vessels that require proof of ownership for legal, insurance, or operational purposes.
3. Maritime businesses that operate documented vessels under U.S. law.

Instructions and Help about mate number

Welcome to the National Maritime Center's instructional video on completing the U.S. Coast Guard 719 series of applications. Forms CG-719B is the application for license as an officer, staff officer or operator, and for Merchant Mariner's documents. The first three pages provide detailed instructions on filling out the CG 719 B form each section listed in the instruction corresponds with a specific section of the application form Figure 1 on page 3 provides a table detailing the different endorsement categories and transaction types to assist you in making the appropriate selection during the application process. Please read these instructions carefully prior to filling out the application. Section 1 of this form consists of personal data. Fill out each block in this section or write “N/A” if not applicable when your credential is issued by mail the address in this section is used. Please make sure your personal information is accurate and report changes immediately. Section two consists of the type of transaction you are requesting. Please check marks in the applicable boxes. Multiple selections in this section are acceptable In the description of endorsement desired box, be specific about the credential you are requesting. This box applies to renewal transactions only. If you wish to have your renewal MMC issued immediately instead of having its issuance coincide with the expiration of your previous credentials please check this box. Section 3 covers safety and suitability. Part one should be marked if you are exempt from holding a valid TWIC under Coast Guard policy Letter 11-15. For more information on this exemption please refer to the policy letter section of our website. For part two: convictions and drug use mark the appropriate response and complete the CG-719C form for all areas marked quot;yes.” Remember to complete all blocks in this section. For part 3 quot;National Driver Registry, *?? Mark this box to authorize the NDR search. Consent authorization is mandatory for applications for originals, renewals or new officer endorsements. Section 4 covers Mariner's consent and certification. In part 1 you are given the option to participate in the Mariner outreach system. Please read this section and choose the appropriate response. The box in part 2 should only be marked when you're applying for a document of continuity. This section acknowledges your awareness that a document of continuity is not valid for use. Part 3 should be used for Mariners under 18 years of age. If applicable please check the box and provide a notarized statement of consent from a parent or guardian. Part 4 denotes that the National Maritime Center is authorized to release information to a third party. If applicable, please fill out this section completely. Part 5 of section 4 addresses certification and oath. Read the certification carefully. Sign and date certifying that the information is true and correct. The oath is for original applications only. There are...

People Also Ask about

How often do you get drug tested in the Coast Guard?

The testing must be done at an annual rate of not less than 25% annually. A marine employer has the right to demand the testing of an employee who is suspected of indulging in substance or alcohol abuse.

What is a USCG pre employment drug test?

USCG drug testing includes dangerous drugs screened with a DOT 5-panel drug test. Dangerous drugs include amphetamines, cocaine, marijuana, opiates, and Phencyclidine (PCP). The Coast Guard drug test examines urine for dangerous substances. Urine samples must be analyzed by SAMHSA-approved drug testing labs.

What is USCG Form 2692?

The written report must be provided on Form CG-2692 (Report of Marine Accident, Injury or Death) supplemented as necessary by appended Forms CG-2692A (Barge Addendum) and CG-2692B (Report of Required Chemical Drug and Alcohol Testing Following a Serious Marine Incident).

What happens if you fail a drug test at the Coast Guard?

Any crewmember who fails or refuses a required chemical test for dangerous drugs must be removed from duties which directly affect the safe operation of the vessel as soon as practicable (or denied employment in the case of a pre-employment test).

How many days do you have to submit the USCG Form 2692?

The owner, agent, master, operator, or person in charge shall within five days, file a written report of any marine casualty required to be reported under 46 CFR 4.05-1. This written report must be delivered to a Coast Guard Sector Office or Marine Inspection Office.

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What is USCG CG-2692B?

USCG CG-2692B is a form used by the United States Coast Guard to report casualties, accidents, and incidents involving recreational vessels.

Who is required to file USCG CG-2692B?

Individuals or organizations operating or involved with recreational vessels that experience accidents, casualties, or property damage are required to file USCG CG-2692B.

How to fill out USCG CG-2692B?

To fill out USCG CG-2692B, the filer must provide information about the vessel, the accident, involved parties, and any injuries or damages incurred.

What is the purpose of USCG CG-2692B?

The purpose of USCG CG-2692B is to collect information about marine incidents to enhance safety regulations and to monitor trends in recreational boating safety.

What information must be reported on USCG CG-2692B?

The form requires information such as the vessel's details, the nature of the accident, location, time, weather conditions, and a description of any injuries or fatalities.