Merchant Mariner Medical Waiver Request
Issued by U.S. Coast Guard – National Maritime Center
There is no numbered waiver form — a medical waiver request is a documentation package submitted with the CG-719K when a mariner does not meet the vision, hearing, or general physical standards. Under 46 CFR 10.303, the Coast Guard may grant a waiver when objective medical evidence shows the condition is sufficiently controlled, and may attach conditions such as more frequent monitoring or operational limitations on the medical certificate.
Also known as: NMC medical waiver · Mariner medical waiver application · Coast Guard medical waiver package
Key facts
Clinicians fill out · Employees complete · Submitted to regulator
- When it’s used
- Prepared when the CG-719K evaluation identifies a condition outside the medical standards in 46 CFR Part 10 Subpart C, or when the NMC requests additional medical information before certificate issuance.
- Who fills it out
- The mariner assembles supporting correspondence, records, and specialist reports; the examining or treating practitioner supplies the objective medical evidence. Employer and government-agency recommendations on behalf of the mariner are given full consideration.
- Who signs
- The treating or examining practitioner signs supporting medical documentation; the mariner signs the request.
- Where it goes
- Submit with the CG-719K medical certificate application to the USCG National Maritime Center; the NMC medical division evaluates and the Coast Guard retains final waiver authority.
- Electronic submission
- Supported — accepted via the NMC ASAP 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 — Medical Certificates
Last verified 2026-07-07
VerifiedOpenRegulation
46 CFR §10.303 — Medical waivers, limitations, and restrictions
Last verified 2026-07-07
VerifiedOpen
Attribution. Waiver process administered by the U.S. Coast Guard National Maritime Center under 46 CFR 10.303; follow current NMC medical guidance when assembling documentation. BlueHive does not modify the underlying government PDF; the file you download is the agency original.
Related forms
These forms are commonly filed alongside or in place of this one.
- USCG Mariner
CG-719K — Application for Merchant Mariner Medical Certificate
CG-719K is the medical evaluation form a licensed practitioner completes for any mariner applying for or renewing a Merchant Mariner Credential (MMC) or Medical Certificate. The National Maritime Center reviews submissions and issues the certificate.
View form - USCG Mariner
CG-719K/E — Application for Medical Certificate — Entry-Level Ratings
CG-719K/E is the abbreviated medical evaluation report for mariners applying only for entry-level ratings (such as ordinary seaman, wiper, or steward’s department). It is shorter than the full CG-719K; any application including an officer or STCW endorsement requires the full CG-719K instead.
View form
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Mariner/USCG Physical Examination
Coast Guard-required medical examination for merchant mariners seeking or renewing credentials.
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Mariner/USCG Physical Examination
Coast Guard-required medical examination for merchant mariners seeking or renewing credentials.
Open prep guide - Prep guide
Fitness for Duty Evaluation
When an employee incident raises safety questions, you need a clear, defensible fitness-for-duty determination — not weeks of back-and-forth with a local clinic. Through BlueHive, employers can connect with board-certified occupational physicians who deliver ADA-compliant FFD evaluations in days, not weeks.
Open prep guide
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