Printable Form For Merchant Mariners Document Merchant Mariner Certificate This tool is intended for Merchant Mariner s to print certificates for display purposes only Use of this certificate for service in the capacity listed is strictly prohibited Only MMC credential data will be available for printing If you have any questions or concerns about the data you receive please contact
APPLICATION FOR MERCHANT MARINER CREDENTIAL FORM CG 719B Instructions 1 Applicants seeking a Merchant Mariner Credential MMC whether original renewal duplicate raise of grade or a new endorsement on a previously issued MMC and applicants requesting a Medical Certificate 2 CG 719B 01 14 Page 2 of 6 Section III Safety and Suitability III 1 TWIC Information Unless specifically exempted the Coast Guard must have evidence that you hold a valid TWIC or for original applicants that you have enrolled for a TWIC and are awaiting the results With the exception of applicants for Documents of Continuity no mariner credential will
Printable Form For Merchant Mariners Document
Printable Form For Merchant Mariners Document
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Merchant Mariner Oath Printable
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Merchant Marine Records Document Maritime Service National Archives
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Document Medical and Physical Evaluation Guidelines for Merchant Mariner Credentials can be downloaded from the NMC website or by calling the NMC at 1 888 IASKNMC 1 888 427 5662 Remove Instructions before submitting Application Review by the Medical Practitioner Who should submit this form Original Merchant Mariner Credential MMC applicants are required to list all convictions including military court martial driving related convictions other than Office of Merchant Mariner Credentialing 2703 Martin Luther King Jr Ave S E STOP 7509 Washington D C 20593 7509 Please Print
USCG Forms Individual USCG Continuity Renewal Statement Form MCP FM NMC5 14 USCG Conviction Form CG 719C Exp 3 31 2021 USCG Drug Test Application Form CG 719P Exp 3 31 2021 USCG Merchant Mariner Credential Application Form CG 719B Exp 3 31 2021 USCG Merchant Mariner ENTRY LEVEL Medical Application CG 719KE Exp 3 31 2021 ENTRY LEVEL MEDICAL CERTIFICATE APPLICATION FORM CG 719K E This exam is recommended to be administered by an occupational health facility that is familiar with the USCG mariner medical form Be sure that all sections of the document form are completed The medical form must be completed and dated within 12 months of your submission
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3 2 4 1 All highlighted information is required 6a and 6c 2 While a home address is preferred the NMC will accept a PO Box address 3 6b is only required if you wish to have all correspondence and your credential s mailed to an address OTHER THAN your home address 6a Merchant Mariner Oath 46 USC I do solemnly swear or affirm that I will faithfully and honestly according to my best skill and judgment and without concealment and reservation perform all the duties required of me by the laws of the United States I will faithfully and honestly carry out the lawful orders of my superior officers aboard a
The Third Party Authorization is to be filled out with the information of the third party who completed your application on your behalf This is if you paid an outside consultant If you completed the forms on your own doing you would leave this section blank What is the CG 719B form Form CG 719B is used for all Coast Guard credentials both 2 Mariners applying for or holding a merchant mariner credential with only an entry level endorsement who serve on a vessel not subject to the International Convention on Standards of Training Certification and Watchkeeping STCW but who request a medical certificate that satisfies the Maritime Labor
Merchant Mariner Credential Qualifications Fill Online Printable Fillable Blank
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https://homeport.uscg.mil/missions/merchant-mariners/merchant-mariner-certificate
Merchant Mariner Certificate This tool is intended for Merchant Mariner s to print certificates for display purposes only Use of this certificate for service in the capacity listed is strictly prohibited Only MMC credential data will be available for printing If you have any questions or concerns about the data you receive please contact
https://www.dco.uscg.mil/Portals/9/NMC/pdfs/forms/CG_719B.pdf
APPLICATION FOR MERCHANT MARINER CREDENTIAL FORM CG 719B Instructions 1 Applicants seeking a Merchant Mariner Credential MMC whether original renewal duplicate raise of grade or a new endorsement on a previously issued MMC and applicants requesting a Medical Certificate 2
Document Of Continuity CAPCA Chesapeake Area Professional Captains Association
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Printable Form For Merchant Mariners Document - The USCG forms currently in the CG 719 series of forms for merchant mariner credentialing show an expiration date of 03 31 2021 in the upper right corner Currently the forms and supporting documentation are under a periodic renewal process Until final approval is received merchant mariners should continue using the current
