Forms library · Topic
USCG Mariner forms
USCG forms used to credential merchant mariners — application packages, medical evaluations, and convictions disclosures.
- Forms tracked
- 7
- PDFs hosted
- 0
- Verified
- 7
All USCG Mariner forms
7 forms tracked across the BlueHive library.
- USCG Mariner Verified
CG-719K — Application for Merchant Mariner Medical Certificate
U.S. Coast Guard – National Maritime Center
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 Official source - USCG Mariner Verified
CG-719B — Application for Merchant Mariner Credential (MMC)
U.S. Coast Guard – National Maritime Center
CG-719B is the base application every mariner files with the National Maritime Center for a Merchant Mariner Credential — original issuance, renewal, raise of grade, new endorsement, or duplicate — and for a Medical Certificate when applying concurrently. The rest of the application packet (medical, drug test, sea service) attaches to this form.
View form Official source - USCG Mariner Verified
CG-719K/E — Application for Medical Certificate — Entry-Level Ratings
U.S. Coast Guard – National Maritime Center
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 Official source - USCG Mariner Verified
CG-719S — Small Vessel Sea Service Form
U.S. Coast Guard – National Maritime Center
CG-719S documents sea service on small vessels toward Merchant Mariner Credential eligibility — vessel name and number, gross tonnage, propulsion, waters navigated, dates, and the capacity served. Under 46 CFR 10.232(a)(4), owners of vessels under 200 GRT may attest to their own service with proof of ownership.
View form Official source - USCG Mariner Verified
Merchant Mariner Credential (MMC) Application Packet
U.S. Coast Guard – National Maritime Center
The MMC application packet is the complete submission the National Maritime Center evaluates: the CG-719B application plus the medical evaluation (CG-719K or CG-719K/E), drug-test documentation (CG-719P or random-program letter), sea service evidence (service letters, discharges, or CG-719S), TWIC proof, training certificates, and fees. The NMC publishes per-endorsement checklists covering age, drug testing, examination, fees, sea service, and TWIC requirements.
View form Official source - USCG Mariner Verified
STCW Record of Assessment Forms
U.S. Coast Guard – National Maritime Center
The NMC publishes per-endorsement Record of Assessment sheets documenting hands-on demonstrations of competence for STCW endorsements (such as OICNW, OICEW, Able Seafarer-Deck, and RFPNW). Each assessment is signed by a Coast Guard-approved Qualified Assessor or Designated Examiner and submitted with the endorsement application under 46 CFR 11.301(a).
View form Official source - USCG Mariner Verified
Merchant Mariner Medical Waiver Request
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.
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