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Get Cg2639g.pdf. Voluntary Deposit Agreement (drugs Or Alcohol)

CER: TELEPHONE: TELEPHONE: COAST GUARD ENFORCEMENT ACTIVITY NUMBER: Voluntary Deposit Agreement (Drugs or Alcohol) I have been informed by a Coast Guard Investigating Officer that, based on my admission that I am a user of and/or am addicted to alcohol .I am considered to be incompetent to serve as a seaman aboard United States merchant vessels. I certify that: a. My use and/or addiction has not caused or contributed to a marine casualty; b. I have not refused to take a alcohol c. test;.

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