Get Uscg Cg-5447 2003-2026

Completing the USCG CG-5447 form online is a straightforward process that ensures you provide essential information regarding your occupational health. This guide will walk you through each section of the form, offering detailed instructions tailored to your needs.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to obtain the USCG CG-5447 form and open it in your online editor.
2. Enter your last name, first name, and middle initial in the designated fields at the top of the form.
3. Fill in your grade, rate, or rank, followed by your Social Security Number.
4. Provide your home address, including apartment number, street number, street name, city, state, and zip code.
5. List your work or duty phone number, unit name, and location (city and state) in the appropriate sections.
6. Add details about your date of birth and age, followed by the date of the exam.
7. Specify the examining facility's name and location along with the purpose of the examination, marking if it is an initial or exit/separation exam.
8. Detail your occupation or usual duties in the space provided.
9. Indicate how many years you have worked in your current occupation.
10. Complete the occupational history section by answering yes or no to the hazards you may be exposed to in your job.
11. Provide your family history by answering if any blood relatives have had certain health issues, using yes or no responses.
12. Fill out your social history regarding smoking, alcohol use, and recreational drug history.
13. Complete the personal health history, answering questions on any recent symptoms, health status, and noise exposure.
14. Use the additional space for comments or explanations of any 'yes' answers where applicable.
15. Sign and date the form at the bottom to certify the information is accurate to the best of your knowledge.
16. Once completed, save your changes, download a copy, print the form, or share it as needed.

Complete your documents online today for a more efficient filing experience.