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STATUS PROFILE U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-5460A (Rev. 6-04) DATE PRINT OUT ON CARBONLESS PAPER New Patient Information and Privacy Act Statement on Page 2 NAME Month.

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How to use or fill out the CG5460a.PDF Status Profile - Uscg online

The CG5460a.PDF Status Profile is an essential document for active duty and civilian personnel of the U.S. Coast Guard. This guide provides a step-by-step approach to accurately filling out the form, ensuring that all necessary information is included for proper processing.

Follow the steps to complete the CG5460a.PDF Status Profile accurately.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Enter the date you are completing the form in the specified format: Month, Day, Year.
  3. Fill in your name, starting with your Last name, followed by your First name and Middle Initial in the provided fields.
  4. Input the Sponsor's Social Security Number as required; select whether you are Active Duty or a Civilian Employee.
  5. Indicate your purpose for the visit under the Purpose of Visit section.
  6. Select your Duty Status, where options include Fit for Full Duty, Limited Duty, and Not Fit for Duty. Based on your selection, provide additional details as needed.
  7. If applicable, record any specified limitations such as desk work only, grounded status, or any restrictions related to physical activities.
  8. Complete the section relating to Medical OPV(s) by entering any relevant information and check for any referrals if necessary.
  9. For new patients, ensure to complete the information requested on the reverse side of the form.
  10. Review all entered information for accuracy. Once confirmed, you can save the changes, download the form, print it, or share it as needed.

Complete your documents online to ensure timely processing.

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