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Get the free CG-719KE.PDF. Application for Medical Certificate, Short Form (Form CG-719K/E)

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DEPARTMENT OF HOMELAND SECURITY OMB No. 16250040U. S. Coast Guarded. Date: 03/31/2021APPLICATION FOR MEDICAL CERTIFICATE, SHORT FORM (FORM CG719K/E) Instructions Who must submit this form? 1. Mariners
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To fill out the cg-719kepdf application for medical, follow these steps:
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Download the cg-719kepdf application form from the official website or obtain a physical copy from a medical facility.
03
Read the instructions carefully to understand the requirements and guidelines for completing the form.
04
Begin by providing your personal information, including your full name, contact details, and date of birth.
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Fill in the required fields related to your medical history, including any previous illnesses, surgeries, or medical conditions.
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Provide accurate information about your current medications, allergies, and immunizations.
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If applicable, fill out the section regarding your vision and hearing test results.
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Include any additional medical information that may be relevant to the application.
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Sign and date the form to confirm the accuracy of the provided information.
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Make a copy of the completed form for your records.
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Submit the cg-719kepdf application to the relevant medical authority or institution as instructed.

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The cg-719kepdf application for medical is needed by individuals who are applying for positions or activities that require a medical examination or certification. This may include pilots, seafarers, commercial drivers, or individuals participating in certain sports or hazardous activities. The specific requirements may vary depending on the country and organization. It is important to consult the relevant guidelines and regulations to determine if the cg-719kepdf application is necessary for your particular situation.
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cg-719kepdf application for medical is a form used for applying for a medical certificate in the maritime industry.
Anyone seeking a medical certificate in the maritime industry is required to file cg-719kepdf application for medical.
To fill out cg-719kepdf application for medical, you must provide accurate and detailed information about your medical history and current health condition.
The purpose of cg-719kepdf application for medical is to ensure that individuals working in the maritime industry are medically fit to perform their duties.
Information such as medical history, current health condition, medications being taken, and any past surgeries must be reported on cg-719kepdf application for medical.
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