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  • Cg5460a.pdf. Status Profile - Uscg

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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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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