Loading
Get Certificato Di Visita Preventiva D`imbarco Ort Datum ... - Hajoorvos
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the CERTIFICATO DI VISITA PREVENTIVA D`IMBARCO Ort Datum ... - Hajoorvos online
The CERTIFICATO DI VISITA PREVENTIVA D`IMBARCO is an essential document for seafarers confirming their medical fitness for onboard service. This guide will walk you through each step of filling out the form accurately and comprehensively.
Follow the steps to fill out the form correctly.
- Click the ‘Get Form’ button to obtain the form and open it in the editor. This will allow you to access the document needed for completion.
- Begin by filling in the fields regarding your doctor's information. Enter the doctor's name, practice, and contact details as indicated on the form.
- In the location section, specify the 'Ort' and 'Datum' to indicate where and when the examination took place.
- Fill in your surname and first name in the appropriate fields. This information is crucial for identifying the individual undergoing the medical examination.
- Provide your date of birth and place of birth as required. Accurate information ensures that your identity can be verified.
- Specify your designated function on board the ship. This field may be important for the employer's records.
- Indicate the name of the ship and the shipowner accurately, as this relates directly to your employment and duties.
- Ensure to read the health declarations carefully. Confirm your health status and agree to the conditions presented. It's important to answer these truthfully.
- Fill in the results of your medical examination, including visual and hearing abilities, urinary status, and other relevant health metrics.
- Complete the physician's assessment section, which confirms your fitness for service at sea. This section will typically be filled out by the assessing doctor.
- After completing all the required fields, ensure that you or the responsible individual signs the form in the designated space.
- Once the form is filled out and signed, you can save changes, download, print, or share the form as necessary.
Begin completing your documents online today for a smoother preparation process.
How to password protect a PDF Click the Select a file button above, or drag and drop a PDF into the drop zone. Enter a password, then retype it to confirm the password. Click Set password. Download the password-protected PDF document, or sign in to share it.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.