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Get USCG CG-2692 2013

26k. Describe Damage to Barge BARGE CARGO OTHER CG-2692 (03/13) Page 1 of 5 Reset SECTION III. PERSONNEL ACCIDENT INFORMATION 27c. Status 27a. Name (Last, First, Middle Name) 27. Person Involved MALE OR FEMALE DEAD INJURED Crew 27b. Address (City, State, Zip Code) Passenger MISSING Other 28. Birth Date 29. Telephone No. 30. Job Position 31. (Check here if off duty) 32. Employer - (if different from Block 18., fill in Name, Address, Telephone No.) 33. Person's Time YEAR(S) A.

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