Get Designated Examiner Request Guide - U.s. Coast Guard

Filling out the Designated Examiner Request Guide is essential for mariners seeking recognition of their qualifications. This guide provides a clear, step-by-step approach to completing the form online, ensuring that all required information is accurately provided.

Follow the steps to successfully complete the Designated Examiner Request Guide.

1. Press the ‘Get Form’ button to obtain the Designated Examiner Request Guide and open it for your use.
2. Begin with Section I by inputting the candidate's information. Provide the mariner reference number if applicable, and fill in the full name, address, and contact details.
3. Move to Section II, where you indicate the type of request: Original, Renewal, or Modification of approval. Be sure to include the expiration date of any current approval if applicable and specify the desired route.
4. In Section III, list any USCG held endorsements, attaching copies of relevant credentials as required. Record the issue and expiration dates of these endorsements.
5. Lastly, review Section IV to provide consent for the U.S. Coast Guard to publish specific information about you on their website. Check the box and complete any necessary contact information.
6. After completing all sections, ensure that no fields are left blank. If a section does not apply, note 'NA' accordingly.
7. Save your completed form. You may then download, print, or share it as required. Submit the form via email, fax, or mail as specified in the guidelines.

Complete your Designated Examiner Request Guide online today to avoid delays in processing.