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  • Uscg Third Party Authorization Form

Get Uscg Third Party Authorization Form

SAMPLE THIRD PARTY AUTHORIZATION FORM I authorize the United States Coast Guard USCG National Maritime Center to release any information regarding my current merchant mariner credential application to the Third Party listed below including Completed merchant mariner credential s.

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How to fill out the Uscg Third Party Authorization Form online

Filling out the Uscg Third Party Authorization Form online enables individuals to authorize the United States Coast Guard to share information regarding their merchant mariner credential application with a designated third party. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it for completion.
  2. In the first section, provide your full name in the designated field to identify yourself as the applicant.
  3. Below your name, include specific details of the third party who will be authorized to receive information regarding your application. This can be either the name of an organization or an individual.
  4. Fill in the complete address of the third party in the appropriate fields. Ensure that all address lines are completed accurately for effective communication.
  5. In the signature section, you must sign and date the form, indicating your consent for the release of information.
  6. A witness must also sign the form. Provide the witness’s signature and the date of signing in the designated area.
  7. Once all fields are filled out correctly, review the form for accuracy. You can then save changes, download, print, or share the completed form as necessary.

Complete your documents online today to facilitate the processing of your Uscg application.

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With an MMC, you may work in the deck, engineering, or steward's departments of a ship. Where you can work and what you can do will depend on the type of endorsement(s) you hold. The deck department is concerned mainly with the navigation and operation of a ship.

An able seaman must hold an endorsed merchant mariner document, pass a physical exam, and pass either an oral or a written exam of knowledge of shipping and seamanship. Crew working in the steward's department must carry a certificate from a medical officer of the U.S. Public Health Service.

------ 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.

To acquire the MMC, you will have to make an application to the National Maritime Center. Along with this application, you must also submit the following: Documentation of Citizenship or Nationality. TWIC Card or receipt indicating you have applied for a TWIC.

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.

Once you submit your application, it takes about 5-7 weeks for our customers to receive your new MMC. This is after submitting a perfect application that is flawless and putting everything in the order the USCG REC and National Maritime Center evaluators prefer.

The Merchant Mariner Credential (MMC) is a credential issued by the United States Coast Guard in ance with guidelines of the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW) to United States seafarers in order to show evidence of a mariner's qualifications.

What is a Merchant Mariner Credential (MMC)? All mariners employed aboard United States (U.S.) merchant vessels greater than 100 Gross Register Tons (Domestic Tonnage), except operators of uninspected passenger vessels, are required to have a valid U.S. MMC.

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Fill Uscg Third Party Authorization Form

I. (print full name), authorize the U.S. Coast Guard National. Authorization allows for release of your information to the Third Party. MMSEAS does not handle any of the medical information for credentialing. Mail my credential to the third party listed below. Third Party Information: (Authorized Persons Name: Last, First, MI.) (Organization if Applicable).

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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