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01. Edit your uscg mmc application forms online
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How to use or fill out merchant mariner medical certificate application third party authorization
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your full name in the designated field to authorize the U.S. Coast Guard National Maritime Center (NMC) to disclose information regarding your credential application.
- Select the appropriate boxes that indicate what matters you are authorizing the third party to act on, such as professional qualifications or medical information.
- Fill in the Third Party Information section with the organization name (if applicable), authorized person's mailing address, phone number, and email address.
- Sign and date the form at the bottom, ensuring that you include your reference number or last four digits of your Social Security Number for identification.
- Choose one of the four methods provided to send your completed authorization to the NMC.
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