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D/OR QUALIFIED RATING DOCUMENT (i.e., First Rating of Able Seaman, Qualified Member of the Engine Department, and Tankerman) Submit this report, completed by your physician. 2. RENEWAL OF LICENSE AND/OR QUALIFIED RATING DOCUMENT You may: Submit this report, completed by your physician; or Submit a certification by a physician in accordance with Title 46, CFR, 10.209(d) or 12.02-27(d). 3. RAISE-IN-GRADE (LICENSES) You may: Submit this report, completed by your physician; o.

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How to fill out the Coast Guard Physical Form online

Filling out the Coast Guard Physical Form is an important step for individuals applying for a merchant mariner license or renewal. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently online.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the Coast Guard Physical Form and open it in your preferred online editor.
  2. Begin with Section I, where you will enter the applicant's information. This includes the name, date of birth, and social security number.
  3. Move on to Section II to provide physical information. Fill in details such as eye color, hair color, weight, height, blood pressure, and pulse rate.
  4. In Section III, indicate the vision details. For corrected vision, you must show both uncorrected and correctable values along with the field of vision for each eye.
  5. Section IV requires you to specify the results of the color vision test. Indicate if the applicant passed or failed the test and include the verified test details.
  6. Proceed to Section V and document the results from the hearing tests. Record threshold values for both ears at different frequencies and the functional speech discrimination percentage if applicable.
  7. In Section VI, list all current medications taken by the applicant, with dosages and potential side effects, along with the conditions treated.
  8. Section VII involves certifying any physical impairments or medical conditions. Answer each condition listed and provide necessary test results or diagnostics if applicable.
  9. After completing all sections, the physician, physician assistant, or nurse practitioner must sign and date the form certifying that the information is complete and true.
  10. Finally, the applicant must sign and date the form. You can then save the changes, download, print, or share the completed form as needed.

Complete the Coast Guard Physical Form online today to ensure you meet all necessary requirements for your maritime certification.

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To check the status of your MMC application, visit the National Maritime Center's online application portal. You will need to log in using your credentials to access your application status. Additionally, you can call the NMC for personalized assistance. Keeping the details of your Coast Guard Physical Form handy can be beneficial in case they request further information.

Yes, you can hand deliver your MMC application and supporting documents directly to the National Maritime Center. Prepare all necessary forms, including the Coast Guard Physical Form, and visit during operating hours. Bringing your application in person may allow for immediate clarification on any questions you might have about the process, ensuring a smoother experience.

Obtaining a medical waiver for the Coast Guard involves submitting a request that includes documentation regarding your medical condition. The Coast Guard Physical Form is crucial in this process, as it provides a detailed overview of your medical history. You may need to provide additional medical records to support your waiver request. Consider consulting with a maritime lawyer or expert if you encounter difficulties.

The CG 719B form, which is part of your application for an MMC, can be submitted online through the National Maritime Center's application portal. If you prefer to submit it via mail, include it with your MMC application package and send it to the appropriate address listed on the NMC website. Including the Coast Guard Physical Form in your submission helps to streamline the process.

You can submit your MMC application online through the National Maritime Center's portal. Ensure you have completed all necessary sections, including the Coast Guard Physical Form. If you choose to submit by mail, gather all supporting documents and send them to the designated address provided on the NMC website. Always double-check your submission to prevent delays.

Several factors may disqualify you from obtaining a Merchant Mariner Credential (MMC). Common disqualifications include certain medical conditions that are not cleared through the Coast Guard Physical Form, criminal history, and a failure to meet any of the training or experience requirements. Always check the specific guidelines outlined by the Coast Guard to ensure you meet eligibility criteria.

To submit your MMC application, begin by gathering all necessary documents, including the Coast Guard Physical Form. You should complete the application online through the National Maritime Center's website. Make sure to follow the guidelines carefully and ensure your forms are filled out accurately. Once completed, you can submit your application along with any required fees.

Disqualifications from the Coast Guard can stem from medical issues, legal troubles, or failure to meet physical fitness standards. It is vital to review your history and qualifications thoroughly. Use the Coast Guard Physical Form to ensure your health and fitness align with Coast Guard expectations.

The Coast Guard requires candidates to complete a minimum of 30 push-ups during the physical fitness assessment. This benchmark measures upper body strength and endurance. To prepare effectively, ensure your training is documented and reflected in your Coast Guard Physical Form.

To qualify for the Coast Guard, physical requirements include passing a series of fitness tests that measure strength, endurance, and agility. Candidates often undergo exercises such as running, swimming, and doing push-ups. Completing your Coast Guard Physical Form helps track your compliance with these standards.

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