FORMS
For information about classes in the listed cities CONTACT Captain Ronald Getter or call 937-478-1947

Application for Merchant Mariner Document (MMD), License, or Certificate of Registry (Form CG-719B)
Character Reference.pdf
Diabetes Waiver FormDOT/USCG Periodic Drug Testing Form (Form CG-719P)
Drug Testing Instructions
Hearing Waiver Form
Merchant Marine Personnel Physical Examination Report (Form CG-719K-1)
Merchant Marine Certification of Fitness for Entry Level Ratings (Form CG-719K/E)
Small Vessel Sea Service Form (Form CG-719S)
Verification of Identity Requirements (NMC Policy Letter 11-02)
USCG Med form.pdfUSCG Oath/notary form.pdf
USCG Checklist for OUPV License.pdf
Vision Waiver Form

There are medical conditions that can delay your application for credentials or cause the application to be denied. Here are the top 5 reasons:
1. Cardiac disease PDF file format indicator image
2. Diabetes PDF file format indicator image
3. Psychiatric disorders PDF file format indicator image
4. Sleep apnea PDF file format indicator image
5. Chronic use of narcotic or benzodiazepine medication It is extremely important that you provide medical documentation from your Doctor if you have one or more of the above mentioned medical conditions. * Definitions and Proof of Testing PDF file format indicator image * SAMHSA 5 PANEL Website * DOT/USCG Periodic Drug Testing Form (Form CG-719P) PDF file format indicator image

Class Enrollment Form