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Get Coast Guard Mutual Assistance Pre-Authorization Form CGMA Sponsor Information Name: Last First

E ID No. Current Duty Station (if applicable) and OPFAC Unit Telephone No: ( ) Ext Apt. No. City State Zip Code Home E-Mail Address - Status: (Please check one) Active Duty Retired Civilian Reserve Auxiliary NAF PHS CGMA Authorization for Family Member to Receive Assistance During the period I am deployed, underway or otherwise separated from my immediate family, I authorize Coast Guard Mutual Assistance to provide necessary financial assistance, up-to the amount indicated, to the famil.

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