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Get the free CG-719CPDF Disclosure Statement for Narcotics DWIDUI andor Other Convictions

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DEPARTMENT OF HOMELAND SECURITY U.S. Coast Guard OMB No. 1625-0040 Exp. Date: 01/31/2016 DISCLOSURE STATEMENT FOR NARCOTICS, DWI/DUI, AND/OR OTHER CONVICTIONS ------ Instructions -----Who should submit
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01
Carefully read the instructions provided with the cg-719cpdf disclosure statement form to familiarize yourself with the requirements and guidelines.
02
Begin by filling out your personal information accurately, including your full name, contact details, and any other requested information.
03
Provide accurate details about your qualifications and experience, ensuring that you mention any relevant licenses, certificates, or training you have undergone.
04
Include information about any previous employment history, making sure to mention any relevant positions held in the maritime industry.
05
If applicable, provide details of any previous disciplinary actions or limitations imposed upon you by the Coast Guard or any other regulatory body.
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Attach any necessary supporting documents as requested.
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Review the completed form carefully to ensure all information is accurate and legible.
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Sign and date the cg-719cpdf disclosure statement, attesting that all information provided is true and accurate to the best of your knowledge.

Who needs cg-719cpdf disclosure statement for:

01
Individuals applying for a merchant mariner credential or whose credentials require a renewal or modification may need to fill out the cg-719cpdf disclosure statement.
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Applicants seeking endorsement for certain vessels or routes may also be required to submit the disclosure statement.
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Any individuals who have had previous disciplinary actions or limitations imposed upon them by the Coast Guard or another regulatory body may need to fill out the cg-719cpdf disclosure statement during the application process to provide a comprehensive overview of their qualifications and history.
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