Get the free seafarer medical certificate form

This document certifies that a seafarer has been examined and found fit for sea service according to the specified medical standards.

How to fill out seafarer medical certificate form

How to fill out seafarer medical certificate:

1. Start by gathering all the necessary information and documentation required for the medical certificate.
2. Fill out the personal details section, including your full name, date of birth, nationality, and contact information.
3. Provide your current address and any previous addresses you have had in the past.
4. Fill in the details of your seafarer's book or certificate of competency, including the issuing authority, number, and date of issue.
5. Provide information about your current employer or shipowner, including the company name, address, contact person, and contact details.
6. Fill out the medical history section honestly and accurately, including any previous illnesses, surgeries, medications, or allergies.
7. Answer all the questions regarding your current physical condition, mental health, and fitness for seafaring duties.
8. Include details of any vaccinations or immunizations you have received.
9. Provide information about any ongoing medical treatments or medications you are currently taking.
10. Complete all the required sections for vision, hearing, respiratory function, cardiovascular system, musculoskeletal system, and other relevant medical examinations.
11. Make sure to sign and date the medical certificate, and have it verified by a licensed medical professional.
12. Submit the completed seafarer medical certificate to the appropriate authorities or your employer.

Who needs seafarer medical certificate:

1. Seafarers working on commercial ships or vessels, including cruise ships, cargo ships, tankers, and fishing vessels, are required to have a seafarer medical certificate.
2. This certificate ensures that the seafarers are physically and mentally fit to perform their duties at sea.
3. The seafarer medical certificate is often requested by maritime authorities, shipowners, and shipping companies as a part of the pre-employment or ongoing medical examination process for seafarers.

People Also Ask about

What is the medical exam for seafarers?

The maritime medical examination involves answering a questionnaire and a physical check, testing your health in relation the work you do. At the end you will be advised with the results. In normal circumstances the maritime medical examination is valid for two years.

What is a ENG1 certificate?

What is ENG1? Is a medical fitness certificate for those who work on sea (or recognised equivalents from other countries). In the United Kingdom, it has to be issued by an MCA (Maritime and Coastguard Agency) approved doctor following a full medical examination.

What is a merchant mariner medical certificate?

A medical certificate is a document that serves as proof that a mariner meets the required medical and physical standards, per the publication of the Federal Register (FR).

How do I get a MMC certificate?

How to Apply for a Merchant Mariner Credential (MMC) Step 1: TWIC. Step 2: Submit Complete Application. Step 3: Transit from REC to NMC. Step 4: Application Evaluated. Step 5: Credential Printed. Step 6: Credential Mailed.

How do I get a medical seafarer?

Apply for a Marine Medical Certificate Contact a Marine Medical Examiner and make an appointment for a marine medical exam. Attend the exam. During the exam, the examiner will decide whether you're “Fit”, “Fit with limitations”

How long does it take to get a merchant Mariners credential?

Merchant Marine apprenticeship programs such as the MITAGS Maritime Apprenticeship Program (MAP) give prospective applicants the experience and credentials they need to become successful mariners. MAP takes a little over two years. It involves 26 weeks of classroom education and 360 days of sea time.

What disqualifies you from getting a merchant mariner credential?

Crimes Against Persons: Homicide (intentional) 7 years 20 years. Homicide (unintentional) 5 years 10 years. Assault (aggravated) 5 years 10 years. Assault (simple) 1 year 5 years. Sexual Assault (rape, child molestation) 5 years 10 years. Robbery 5 years 10 years. Other crimes against persons 2 Vehicular Crimes.

What does merchant mariner credential mean?

The Merchant Mariner Credential (MMC) is a credential issued by the United States Coast Guard in ance with guidelines of the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW) to United States seafarers in order to show evidence of a mariner's qualifications.

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What is seafarer medical certificate?

A seafarer medical certificate is a document that verifies an individual's medical fitness to work at sea, ensuring they meet the health standards required by maritime regulations.

Who is required to file seafarer medical certificate?

Seafarers who are employed on ships or vessels, including those working in commercial shipping, fishing, and other marine operations, are required to file a seafarer medical certificate.

How to fill out seafarer medical certificate?

To fill out a seafarer medical certificate, the seafarer must undergo a medical examination by an approved doctor, who will complete the certificate with relevant medical information and declare the individual fit or unfit for duty.

What is the purpose of seafarer medical certificate?

The purpose of the seafarer medical certificate is to ensure that seafarers are medically fit to perform their duties at sea, reducing the risk of medical emergencies and ensuring safety on board.

What information must be reported on seafarer medical certificate?

The seafarer medical certificate must report the seafarer's personal details, medical history, results of the medical examination, any prescribed medications, and the doctor's assessment of their fitness to work at sea.