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Get USCG CG-719P 2004

Y the requirements for “Periodic Drug Testing” in accordance with Title 46 CFR 16.220. If you participate in a USCG “random or pre-employment drug test program,” this form may not be necessary. (See page 2 for details.) NOTE: The cost of the drug test is the sole responsibility of the applicant, not the Coast Guard. Section I - Applicant Consent I certify that I am the described applicant and that I have provided the specimen(s) described below in accordance with Department of Transport.

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