Get the free uscg form 719k

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

How to fill out uscg form 719k

How to fill out USCG Form 719K:

1. Start by downloading the USCG Form 719K from the official United States Coast Guard (USCG) website or obtain a physical copy from a USCG office if available.
2. Read the instructions on the form carefully to understand the purpose and requirements of Form 719K.
3. Begin filling out the personal information section of the form, including your full name, contact information, and any other requested details.
4. Ensure you accurately provide your vessel's information, such as its name, hull number, length, and other identifying characteristics.
5. If applicable, provide details about the commercial vessel's cargo, passengers, and expected routes of travel.
6. In the "Safety Management System (SMS)" section, provide information about the SMS, including any changes or updates since the last submission.
7. Complete the "Certification" section, where you need to certify that the information provided is accurate, and you understand the consequences of providing false information.
8. Sign and date the form in the designated fields to certify your submission.
9. Review the completed form thoroughly, ensuring all information is accurate and legible.
10. Submit the form as per the instructions provided, either by mailing it to the designated USCG address or following any additional submission procedures specified.

Who needs USCG Form 719K:

1. Owners, operators, or masters of commercial vessels subject to USCG regulations and requirements related to Safety Management Systems.
2. Individuals responsible for maintaining compliance with laws and regulations governing commercial vessel safety and operations.
3. Those engaged in the transportation of cargo or passengers on commercial vessels subject to USCG oversight and regulatory scrutiny.

For pdfFiller’s FAQs

What is uscg form 719k?

USCG Form 719K is the Application for Medical Certificate.

Who is required to file uscg form 719k?

All mariners applying for or renewing US Coast Guard credentials are required to file Form 719K.

How to fill out uscg form 719k?

Form 719K should be completed accurately and honestly with all required information and supporting documentation.

What is the purpose of uscg form 719k?

The purpose of USCG Form 719K is to collect medical information from mariners to determine their fitness for duty.

What information must be reported on uscg form 719k?

Information such as medical history, current medications, physical exam results, and any medical conditions that may affect mariner's ability to perform duties.

How do I execute uscg form 719k online?

Completing and signing uscg form 719k online is easy with pdfFiller. It enables you to edit original PDF content, highlight, blackout, erase and type text anywhere on a page, legally eSign your form, and much more. Create your free account and manage professional documents on the web.

How do I make edits in uscg form 719k without leaving Chrome?

Install the pdfFiller Chrome Extension to modify, fill out, and eSign your uscg form 719k, which you can access right from a Google search page. Fillable documents without leaving Chrome on any internet-connected device.

How can I fill out uscg form 719k on an iOS device?

Install the pdfFiller app on your iOS device to fill out papers. If you have a subscription to the service, create an account or log in to an existing one. After completing the registration process, upload your uscg form 719k. You may now use pdfFiller's advanced features, such as adding fillable fields and eSigning documents, and accessing them from any device, wherever you are.