Get Seediensttauglichkeit

Filling out the Seediensttauglichkeit form online is a vital step for ensuring your fitness for maritime service. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the Seediensttauglichkeit form online.

1. Press ‘Get Form’ button to obtain the form and open it in your browser.
2. Fill in your last name in the designated field.
3. Enter your address carefully in the provided section.
4. Complete the first name field with your given name.
5. Provide your phone number, including mobile and/or landline.
6. Indicate your nationality in the corresponding field.
7. Enter the name of your employer or shipping company in the designated space.
8. Answer the question regarding your current health status, indicating if you are unfit for work due to illness.
9. Provide your date of birth in the required format.
10. Fill in your email address so you can receive updates or correspondence.
11. State your place of birth and the respective country.
12. Provide details of your last position or area of operation.
13. Indicate whether this is your initial examination or a follow-up examination.
14. If applicable, provide the date of your last Seediensttauglichkeit examination and the name and location of the doctor.
15. Select if you have your German Seediensttauglichkeitszeugnis or if it has been lost.
16. Respond to whether your employer pays accident insurance contributions to BG Verkehr, and attach any necessary certificates as required.
17. Answer if you have previously been deemed unfit during a preliminary examination.
18. Disclose any accidents you have had before the initial examination or since your last Seediensttauglichkeit assessment.
19. Indicate whether in the past two years you have been unable to work or have been taken ashore for health reasons.
20. Answer if you are currently experiencing health issues or are undergoing medical or dental treatment.
21. Specify if you have a recognized disability, including its degree if applicable.
22. Respond to inquiries regarding known allergies and document them in the space provided.
23. Indicate your smoking status and specify the amount if applicable.
24. Declare if you regularly take medication, specifying which ones.
25. State your alcohol consumption habits, detailing the frequency and amount.
26. Answer whether you have ever used drugs, including the time since your last usage.
27. Indicate if you have been treated or operated on in a hospital in the last two years.
28. For female crew members, state whether you are pregnant.
29. Respond to the series of health questions regarding various conditions with yes or no, providing additional details where necessary in the remarks section.
30. Read and acknowledge the declaration confirming that your responses are truthful and complete.
31. Fill in your location and the current date.
32. Sign the form, and if you are a minor, ensure it is signed by your guardian, acknowledging that consent applies to all associated legal matters.
33. Once all fields are completed, save your changes, download a copy, print, or share the form as needed.

Complete your Seediensttauglichkeit form online today to ensure your maritime readiness.