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  • Uscg Merchant Mariner Credential Medical Evaluation Report Form

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Cal and physical evaluation guidelines for merchant mariner credentials is contained in Navigational and Vessel Inspection Circular (NVIC) 4-08. Additional information is also available at the National Maritime Center (NMC) Homeport website Additional information can also be obtained from NMC at: Commanding Officer, National Maritime Center, 100 Forbes Drive, Martinsburg, WV 25404 or 1-888-I-ASK-NMC (1-888-427-5662) Who must submit this form? Applicants seeking an original, renewal.

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Steps to Apply for an Original MMC Determine the Officer and/or Ratings that you wish to obtain by visiting the NMC's Checklist Page. Obtain a Transportation Worker's Identification Credential. Fill out a CG-719B Application for Merchant Mariner Credential. (IF APPLICABLE) Fill out a CG-719C Conviction Statement.

How do I submit an application? 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.

------ 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.

Mariners may be disqualified due to multiple reasons, including but not limited to, the following: inadequately controlled diabetes with Hemoglobin A1c levels equal to or greater than 8.0%; episodes of hypoglycemia; documented non-compliance with treatment; significant diabetic retinopathy that causes the mariner not ...

Any application for a medical certificate that is submitted with a CG-719B (MMC and medical certificate) must be submitted to an REC. Medical certificate applications can be submitted to the NMC via e-mail at: MEDAIP@uscg.mil.

The preferred method to submit your application and supporting documentation is via e-mail to MEDAIP@uscg.mil. Please include your full name in the subject line and ensure attachments are in PDF format. A CG-719B can ONLY be submitted to a Regional Exam Center.

How do I submit an application? 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.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232