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How To Fill Out CG-719B Form
File Order Work Instruction
Merchant Mariner Credential, Merchant Mariner Medical Certificate application forms, and other various documents needed for the process are below.
All forms posted on the NMC website are the most up-to-date versions and will be accepted by the NMC.
To ensure submitted applications are complete, please use the NMC's Checklist:
Complete applications are accepted at Regional Examination Centers (RECs) via mail, e-mail, fax, or in person. The NMC will NOT accept applications directly from mariners, except for Medical Certificate ONLY Applications (719K or 719K/E) sent via email to MEDAIP@uscg.mil. If you submit an incomplete application, you will receive an Awaiting Information (AI) letter and YOUR CREDENTIAL WILL BE DELAYED!
For details on which forms are needed for each application type, visit the Merchant Mariner Credential page.
The Medical Certificate page specifies
the requirements for a medical certificate.
Application for Merchant Mariner Credential (CG-719B)
Application for Medical Certificate (CG-719K)
Application for Medical Certificate for Entry Level Ratings (CG-719K/E)
Conviction Statement (CG-719C)
Small Vessel Sea Service Form CG-719S (Sea Service)
DOT/USCG Periodic Drug Testing Form 719P (Drug Testing)
Shipping Articles (CG-705A)
Certificate of Discharge (CG-718A)
Course Submittal Checklist
Designated Examiner Submittal Checklist
Instructor/Proctor Submittal Checklist
Qualified Assessor Submittal Checklist
Sample Third Party Authorization Form (Medical Certificate)
Sample Third Party Authorization Form (Merchant Mariner Credential)
Site Approval Submittal Checklist
TWIC Exemption Sample Statement