Get the free merchant mariner credential medical evaluation report form - nj

U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-719K Rev. 01-09 Merchant Mariner Credential Medical Evaluation Report OMB-1625-0040 Expires 6/30/2012 Detailed guidance on the medical and physical evaluation guidelines for merchant mariner credentials is contained in Navigational and Vessel Inspection Circular NVIC 4-08.

How to fill out merchant mariner credential medical

To fill out a merchant mariner credential medical, follow these steps:

1. Obtain the appropriate application form from the United States Coast Guard (USCG) or Maritime Administration (MARAD) website or local field office.
2. Fill in all required personal information such as your name, address, and contact details.
3. Provide information about your current medical condition, including any pre-existing medical conditions or disabilities.
4. Schedule an appointment with an approved medical professional who will conduct a thorough medical examination. This examination typically includes a physical examination, vision and hearing tests, and a drug and alcohol screening.
5. Ensure that the medical professional completes all necessary forms and signs off on them. Make sure that they provide all required documentation, such as medical records and test results, as attachments to the application.
6. Complete any additional forms or assessments that may be required. These may include psychological evaluations or tests for color vision.
7. Submit the completed application, along with any required supporting documents, to the appropriate USCG or MARAD office.

Merchant mariner credential medical is required for individuals who are seeking employment or currently employed in the maritime industry. This includes individuals working onboard commercial vessels, including ships, tugs, and barges, as well as offshore workers in the oil and gas industry.

It is important to note that the specific requirements for the merchant mariner credential medical may vary depending on the type of credential you are applying for and the specific duties and responsibilities of the position you are seeking. Therefore, it is advisable to consult the USCG or MARAD website or contact their offices directly for the most up-to-date and accurate information regarding the medical requirements for obtaining a merchant mariner credential.

For pdfFiller’s FAQs

Can I sign the merchant mariner credential medical electronically in Chrome?

Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your merchant mariner credential medical in minutes.

How do I edit merchant mariner credential medical straight from my smartphone?

The pdfFiller mobile applications for iOS and Android are the easiest way to edit documents on the go. You may get them from the Apple Store and Google Play. More info about the applications here. Install and log in to edit merchant mariner credential medical.

How do I fill out merchant mariner credential medical using my mobile device?

The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign merchant mariner credential medical and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.

What is merchant mariner credential medical?

Merchant Mariner Credential Medical is a medical examination that certifies that a mariner is physically fit and able to perform their duties at sea.

Who is required to file merchant mariner credential medical?

All merchant mariners who hold or are applying for a Merchant Mariner Credential (MMC) are required to file a merchant mariner credential medical.

How to fill out merchant mariner credential medical?

To fill out a merchant mariner credential medical, mariners need to visit an approved medical provider and undergo the necessary physical examinations. The provider will then complete the required forms and provide the mariner with a medical certificate.

What is the purpose of merchant mariner credential medical?

The purpose of merchant mariner credential medical is to ensure that mariners meet the medical standards necessary to safely perform their duties at sea and maintain the safety of the vessel and crew.

What information must be reported on merchant mariner credential medical?

Merchant mariner credential medical requires reporting of personal identification information, medical history, current medications, previous surgeries, and the results of various medical tests and examinations.