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USCG CG-719S 2024-2026 free printable template

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DEPARTMENT OF HOMELAND SECURITY OMB No. 1625-0040 U.S. Coast Guard Exp. Date 04/30/2026 SMALL VESSEL SEA SERVICE FORM OPTIONAL CG-719S For Service on Vessels of Less Than 200 Gross Register Tons Only PRIVACY ACT STATEMENT Pursuant to 5 U.S.C. 552a e 3 this Privacy Act Statement serves to inform you of why DHS is requesting the information on this form* AUTHORITY 14 U*S*C. 505 46 U*S*C. 2103 7101 7302 7502 and 46 CFR Part 10. PURPOSE To determine whether an applicant meets the regulatory...
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How to fill out cg 719s form

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How to fill out USCG CG-719S

01
Download the USCG CG-719S form from the official website.
02
Begin by filling out your personal information at the top of the form, including your name, address, and date of birth.
03
Indicate your citizenship status by checking the appropriate box.
04
Provide your vessel information, including the vessel name, number, and type.
05
Complete the health history section by answering all questions honestly and accurately.
06
Review the certification section and ensure that you understand the declarations.
07
Sign and date the form in the signature area provided.
08
Submit the completed form to the appropriate USCG office or designated agency.

Who needs USCG CG-719S?

01
Individuals applying for a Recreational Vessel Operator's Permit.
02
Those seeking to renew their operating credentials.
03
Anyone required to submit a medical history for boat operation as per USCG regulations.

Who issues an MMC CG 719S Form?

MMC CG Form is one of the Merchant Mariner Credential Forms issued by the US Department of Homeland Security Coast Guard.

The form is to be filled out by an individual willing to apply for merchant mariner credentials to be able to operate a small sea vessel. The information the provision of which the form requires will help to establish the applicant’s domestic and international qualifications to be issued their merchant mariner credentials. It also encompasses eligibility of a merchant mariner's credential, duplicate credentials, or additional endorsements issued by the Coast Guard and establishing and maintaining continuous records of the person's documentation transactions.

In short, the data submitted on the completed form will be used by the Coast Guard personnel to make sure that an applicant is a safe and suitable person and is capable of performing the duties of the Merchant Mariner.

Who fills out MMC CG 719S Form?

This form, which is fully called a Small Vessel Sea Service Form, is applicable only when sea vessels under 200 gross tons are meant.

Should MMC CG 719S Form be accompanied by any other forms?

There is no need to support the completed Merchant Mariner Credential (MMC)CG719S form by any other documents unless the applicant is at the same time the owner of the vessel. In such a case, they should be able to provide a proof of evidence. 

When is Small Vessel Sea Service Form due?

The completion of the form does require meeting a special deadline. The MMC CG 719S Form can be filled out and submitted when the need has arisen.

How do I fill out Small Vessel Sea Service MMC CG 719S Form?

The following information should be provided to secure the form’s proper completion:

  1. Information about the applicant (full name, SSN, vessel name, official or state registration number, vessel dimensions, propulsion, name of the navigated body (or bodies) of water.)

  2. Record of underway service (at their totals)

  3. Signature and verification of the applicant.

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People Also Ask about uscg small vessel sea service form

The Coast Guard requires that you have at least 360 days on the water since you were 16 years old. 90 of those days need to be in the last three years, this is referred to as recency. One day counts as a minimum of 4 hours on the water. You cannot have more than one day within a 24-hour time period.
0:08 5:19 How to fill out a USCG 719S Small Vessel Sea Service Form for your YouTube Start of suggested clip End of suggested clip You're gonna put in your social security number here. But don't put it in until you're getting readyMoreYou're gonna put in your social security number here. But don't put it in until you're getting ready to submit. It we're gonna say it's for the inauri one of my first boats i played. On.
0:08 5:19 How to fill out a USCG 719S Small Vessel Sea Service Form for your YouTube Start of suggested clip End of suggested clip You're gonna put in your social security number here. But don't put it in until you're getting readyMoreYou're gonna put in your social security number here. But don't put it in until you're getting ready to submit. It we're gonna say it's for the inauri one of my first boats i played. On.
What form do you use to record sea service time for the USCG? To document your experience on the water, use the Small Vessel Sea Service Form (CG-719S) and record to the best of your recollection the number of days that you were on the water in any given month and year.
For each vessel, the letter must provide: • vessel name • official number • vessel type • propulsion type • tonnage • engine horsepower (when applicable) • the beginning date of service • the end date of service • number of underway days.
The CG-719S is the Small Vessel Sea Service Form. This form is used by the Coast Guard to document and track your days and experience on the water. The CG-719S is used for any boat that's less than 200 gross tons. That includes most pleasure boats.

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USCG CG-719S is a form that is used by the United States Coast Guard to collect information on the physical and mental fitness of individuals applying for a merchant mariner credential.
Individuals applying for a merchant mariner credential are required to file USCG CG-719S, including those seeking to renew or upgrade their credentials.
To fill out USCG CG-719S, applicants must provide personal information, medical history, and any relevant details about their physical and mental capabilities, typically by following the instructions provided with the form.
The purpose of USCG CG-719S is to ensure that individuals who apply for merchant mariner credentials are medically fit to perform the duties required of those positions safely.
USCG CG-719S requires reporting of personal identification details, medical history, current medications, any health conditions, and any history of substance abuse.
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