USCG CG-719P 2004 free printable template

DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-719P (Rev 03/04) DOT/USCG Periodic Drug Testing Form Expires 06/30/2012 OMB 1625-0040 Page 1 INSTRUCTIONS: This form MAY be used to satisfy

How to fill out USCG CG-719P

How to fill out USCG CG-719P

1. Start with personal information: Fill in your name, date of birth, and social security number.
2. Provide your contact details: Include your address, phone number, and email.
3. Complete the vessel information: List any vessels you have operated.
4. Answer health questions: Respond to questions regarding your physical and mental health.
5. Disclose any arrests or convictions: Answer truthfully about any legal issues.
6. Sign and date the form: Ensure you have signed and dated the document before submission.
7. Submit the form: Follow the instructions for submitting to the appropriate USCG office.

Who needs USCG CG-719P?

1. Individuals applying for a Merchant Mariner Credential (MMC) with the U.S. Coast Guard.
2. Anyone seeking to operate certain types of vessels commercially.
3. Mariners who need to certify their fitness and qualifications for operating vessels.

Instructions and Help about USCG CG-719P

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People Also Ask about

What is the difference between CG-719K and CG-719K E?

Which form to use? The CG-719 K/E should be used only by mariners seeking an entry level credential. This form is limited to applicants for the following rating endorsements: Ordinary Seaman, Wiper, or Steward's Department (food handler). The CG-719K should be used for all other endorsement applications.

What are the cutoff levels for a DOT drug test?

Subpart F - Drug Testing Laboratories Initial test analyteInitial test cutoff1Confirmatory test analyteMarijuana metabolites (THCA)250 ng/mL3THCACocaine metabolite (Benzoylecgonine)150 ng/mL3BenzoylecgonineCodeine/ Morphine2000 ng/mLCodeine MorphineHydrocodone/ Hydromorphone300 ng/mLHydrocodone Hydromorphone5 more rows • Apr 15, 2020

What is a CG-719B?

What is the CG-719B form? Form CG-719B is used for all Coast Guard credentials, both for original first time Coast Guard applications and for license renewals.

How do I submit Form CG 719K?

For a medical certificate only, the preferred way to submit your CG-719K or CG-719K/E (medical certificate applications) along with any supplemental medical information is via e-mail to MEDAIP@uscg.mil. Please include your full name in the subject line.

What paperwork do I need to renew my Merchant Mariner credential?

To renew your MMC license, submit to the Coast Guard a MMC license renewal application, with a new physical examination, a drug test or drug consortium letter, and be able to show 360 days (one year) of service during the past five years.

How to fill out CG-719K?

0:25 10:27 Right here they need to initial and date. And you need to print your last name comma first nameMoreRight here they need to initial and date. And you need to print your last name comma first name comma middle initial.

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What is USCG CG-719P?

USCG CG-719P is a form used by the United States Coast Guard for documenting an individual's qualifications and experience for obtaining a merchant mariner credential.

Who is required to file USCG CG-719P?

Individuals applying for a merchant mariner credential or those renewing their existing credentials are required to file the USCG CG-719P.

How to fill out USCG CG-719P?

To fill out USCG CG-719P, applicants need to provide personal information, details about their maritime experience and qualifications, and answer questions related to their history, such as any drug or alcohol-related offenses.

What is the purpose of USCG CG-719P?

The purpose of USCG CG-719P is to gather essential information regarding a mariner's qualifications and fitness to ensure safety and compliance within maritime operations.

What information must be reported on USCG CG-719P?

The information that must be reported on USCG CG-719P includes personal identification details, medical history, boating experience, and any legal or disciplinary actions, including drug and alcohol violations.