U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-719K/E Rev. (01-09) Merchant Mariner Evaluation of Fitness for Entry Level Ratings OMB 1625-0040 Expires 6/30/2012 Section I Applicant Information.
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How to fill out the Cg 719k E online
Filling out the Cg 719k E form is a vital step for anyone seeking an entry-level rating in maritime professions. This guide provides clear instructions to assist you in completing the form accurately and efficiently in an online format.
Follow the steps to complete the Cg 719k E form.
- Click ‘Get Form’ button to obtain the form and open it in the editor of your choice.
- Begin with Section I, where you will provide your personal information. Enter your name in the format of Last, First, and Middle. Include your Social Security Number, age, and date of birth in the specified format (MM/DD/YYYY).
- Move to Section II, which covers physical information. Fill in your height, eye color, distinguishing marks, weight, hair color, and body mass index as required.
- In Section III, you will certify your physical abilities. Read through the physical tasks listed and confirm your capabilities by placing an X in the relevant box. Ensure to include comments if necessary.
- Provide the name and signature of the evaluating physician, physician assistant, or nurse practitioner. Include their license number and office address. Make sure to have the healthcare provider indicate the applicant's competency status.
- Lastly, in Section IV, the applicant must sign and date the form, certifying that all provided information is complete and accurate.
- Once all sections are complete, save your changes, and you may choose to download, print, or share the completed form as needed.
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Get answers to your most pressing questions about US Legal Forms API.
Can any doctor do a Coast Guard physical?
Not every doctor is authorized to conduct a Coast Guard physical. The Coast Guard requires that physical examinations be performed by a physician who meets specific qualifications. These doctors must be familiar with the standards outlined by the Coast Guard and provide a thorough assessment. If you're preparing for your CG 719K E application, ensure you consult with a qualified medical professional to avoid any delays in your certification process.
Who is considered a merchant mariner?
A merchant mariner is an individual who works on ships or boats engaged in commerce. This includes those who operate, maintain, or support vessels involved in trade and transportation. To qualify as a merchant mariner, one typically needs to hold a valid credential issued by the U.S. Coast Guard. Understanding your status in relation to the CG 719K E form is crucial, and US Legal Forms can help clarify any questions you may have regarding your eligibility.
Who can fill out form cg 719K?
Form CG 719K is typically filled out by individuals seeking a merchant mariner's credential or those applying for a Coast Guard license. It is essential that applicants provide accurate and complete information to ensure proper processing. Both U.S. citizens and lawful residents can submit this form, provided they meet the necessary requirements. If you need assistance or guidance through this process, consider using the US Legal Forms platform for a streamlined experience.
How to submit Cg 719K?
Submitting the Cg 719K is straightforward with the US Legal Forms platform. After completing the form, review all your entries for accuracy. You can then submit the form electronically or print it for mailing, depending on your preference. Our platform provides clear instructions for both submission options, ensuring you meet all necessary requirements.
How do I start using MMC?
To begin using MMC, first create an account on the US Legal Forms platform. Once registered, you can easily navigate to the Cg 719k E form and access all necessary features. Follow the guided prompts to fill out the form accurately. This streamlined process ensures that you can efficiently manage your legal documentation.
What are the medical disqualifications for merchant mariner credential?
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 ...
What is CG 719K?
CG 719K/E. The Application for Merchant Mariner Medical Certificate for Entry Level Ratings (CG-719K/E) is required for entry level mariners. The examination and form must be completed within 12 months of application date.
Where do I send my CG 719K?
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.
Where do I send my Coast Guard application?
Applicants may submit an application via email, which is the preferred method, to RECLB@uscg.mil, or by fax or mail. Medical applications and supporting medical documentation should be sent via e-mail to MEDAIP@uscg.mil . Please include your full name in the subject line and ensure attachments are in PDF format.
What is the USCG MMC oath?
I do solemnly swear or affirm that I will faithfully and honestly, ing 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 vessel.
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