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Get Uscg Cg-719k 2002
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How to fill out the USCG CG-719K online
This guide provides clear and concise instructions for users seeking to fill out the USCG CG-719K form, also known as the Merchant Mariner Physical Examination Report. By following these steps, individuals can ensure they correctly complete the form to comply with U.S. Coast Guard requirements.
Follow the steps to fill out the USCG CG-719K effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor. This will allow you to access the online version of the CG-719K form.
- Fill out Section I, which requires the applicant's information including their name, date of birth, and social security number.
- In Section II, provide physical information such as eye color, hair color, weight, height, blood pressure, and resting pulse, ensuring accuracy.
- Complete Section III regarding vision. Note both uncorrected and correctable vision for each eye while ensuring the applicant meets the horizontal field of vision requirement.
- In Section IV, assess color vision and indicate whether the applicant passed or failed, referencing the appropriate color vision tests used.
- Proceed to Section V to note the hearing assessment. Indicate any impairment and document results from the audiometer test, if applicable.
- In Section VI, list all current medications taken by the applicant, including dosage and possible side effects, along with the conditions these medications address.
- Section VII requires a detailed assessment of any physical impairments or medical conditions. Mark 'Yes' or 'No' for each item and provide necessary test results and remarks if applicable.
- Finally, have the physician or qualified medical professional complete the certification section, including their signature, date, and contact information.
- Once all sections are completed, users can save changes, download, print, or share the completed form as needed.
Ensure you have all necessary information handy and complete your CG-719K form online today.
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Submit the CG-719B form to the same Coast Guard Regional Exam Center where you send your other MMC application forms. Ensure that the USCG CG-719K and any additional documents are also included for a complete submission package. Utilizing services like US Legal Forms can simplify this process by guiding you through the submission requirements.
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