CG-719PPeriodic Drug Testing Form
Issued by U.S. Coast Guard – National Maritime Center
CG-719P documents a negative chemical test for dangerous drugs as required for original issuance and renewal of mariner credentials.
Also known as: USCG 719P · Mariner drug test form
Key facts
Clinicians fill out · Employees complete · Submitted to regulator
- When it’s used
- Required with most original and renewal credential applications under 46 CFR 16.220 unless the mariner is enrolled in a random testing program with on-file documentation.
- Who fills it out
- The collection facility and Medical Review Officer (MRO) complete designated sections; the mariner provides identifying information.
- Who signs
- Medical Review Officer (physician credentialed under 49 CFR Part 40) certifies the test result.
- Where it goes
- Submit with the mariner's credential application package to the USCG National Maritime Center.
- Electronic submission
- Supported — accepted via NMC portal and email.
Sources & citations
Every form we publish traces to an authoritative government source. We cite the issuing agency, the underlying statute, and the operative regulation so you can verify scope and signing authority for your own records.
Issuing agency
USCG National Maritime Center — Forms
Last verified 2026-05-12
VerifiedOpenRegulation
46 CFR Part 16 — Chemical Testing
Last verified 2026-05-12
VerifiedOpen
Attribution. Form authored and maintained by the U.S. Coast Guard National Maritime Center. BlueHive does not modify the underlying government PDF; the file you download is the agency original.
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