Get Disclosure Statement For Narcotics, Dwi/dui, And/or Other Convictions - Reginfo

Filling out the Disclosure Statement for Narcotics, DWI/DUI, and/or other convictions is an important step in acquiring or renewing your Merchant Mariner Credential. This guide provides clear and detailed instructions to assist you in completing the form accurately and efficiently online.

Follow the steps to complete the Disclosure Statement form online.

1. Click 'Get Form' button to access the Disclosure Statement form and open it in your preferred document editor.
2. In Section I: Personal Data, enter your legal name accurately, including any aliases or maiden names. Provide your reference number if you have one, and your Social Security Number if you are applying for an original credential. Lastly, enter your date of birth; note that applicants under 18 require notarized approval from a legal guardian.
3. Move to Section II: Conviction and/or Drug Use Disclosure. Here, list any convictions you have received, including the exact charges, city and state of conviction, date, court findings, and the court's final decision regarding your case. Include a brief description of the events leading to your arrest and ensure compliance with court requirements.
4. Complete Section III: Acknowledgement and Certification. Sign the form to acknowledge that you understand the definition of a conviction and certify the truthfulness of the information provided. Date the form with the current date.
5. Once you have filled out all sections, review the form for accuracy. After ensuring all information is correct, you can save changes, download, print, or share the completed form as needed.

Complete your Disclosure Statement online today to ensure a smooth processing of your Merchant Mariner Credential.