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Click ‘Get Form’ to open the CG 719S in the editor.
Begin with Section I – Applicant Information. Fill in your name, Social Security Number, and vessel details including name, registration number, gross tons, length, width, propulsion type, and depth if known.
In Section II – Record of Underway Service, enter the number of days served for each month. You can record multiple years by filling in the appropriate year and corresponding days.
Calculate and input the total number of days served on this vessel at the end of Section II. Also provide average hours underway per day and average distance offshore.
Complete Section III – Signature and Verification by signing and dating the form. If you are not the owner, ensure that the Owner or Master also signs to verify your service.
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Applicants seeking a Merchant Mariner Credential (MMC), whether original, renewal, duplicate, raise of grade, or a new endorsement on a previously issued MMC.
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