Downloadable Forms

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Applications & Coast Guard Forms

    1. Application for Merchant Mariner Document (MMD) (Form CG-719B)
    2. Small Vessel Sea Service Form (Form CG-719S)
    3. USCG Checklist for OUPV License
    4. USCG Checklist for Renewal
    5. TWIC Deferment Letter
    6. Top 10 Reasons Applications Are Delayed
    7. Merchant Mariner Oath

Merchant Center Credential Form Video Instructions
Video Guide for Completing Merchant Mariner Credential

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Medical Forms

  1. Merchant Marine Personnel Physical Examination Report (Form CG-719K)
  2. DOT-USCG Periodic Drug Testing Form (Form CG-719P) –
    1. Captains Club Drug Consortium Membership Form
  3. Vision
  4. Sample American Heart Association Form

Medical Certificate Application Form Video Instructions
Video Guide to Filling Out Application Form CG-719K

If you have had a medical condition in the last 5 years, click here (pdf) to see what your MD might have to submit with your medical forms.

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.

http://box5362.temp.domains/~truecour/top-10-reasons-application-credentials-may-denied/