Cg 719k 2002 form-2026

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The document is a Merchant Mariner Physical Examination Report issued by the U.S. Coast Guard, outlining the requirements for physical examinations of applicants seeking original licenses, renewals, or upgrades in maritime qualifications. It details the responsibilities of physicians in assessing the physical fitness of mariners, lists potential disqualifying medical conditions, and provides guidelines for conducting the examination. The report also includes sections for personal information, vision and hearing tests, medication history, and certification of physical impairment.

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Click ‘Get Form’ to open the CG-719K form in the editor.
Begin by filling out Section I, which requires your personal information such as name, date of birth, and social security number.
Proceed to Section II to provide your physical information including eye color, hair color, weight, height, blood pressure, and pulse.
In Section III, detail your vision. Ensure you include both uncorrected and corrected vision measurements for each eye.
Complete Section IV regarding color vision. Indicate whether you passed or failed the tests listed.
Fill out Section V on hearing capabilities. Record results from any audiometer tests if applicable.
In Section VI, list all current medications along with dosages and potential side effects.
Finally, complete Section VII by answering questions about any medical conditions and providing necessary test results.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (107 Votes)
2014	4.3 Satisfied (161 Votes)
2009	4.4 Satisfied (250 Votes)
2002	4.4 Satisfied (186 Votes)

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Where can I get a seafarers medical certificate?

Mariners are required to carry a valid medical certificate, once issued, to sail under the authority of their MMC. 2. How do I request a duplicate medical certificate? Submit your request for a duplicate medical certificate to the National Maritime Center (NMC) via phone ((888) 427-5662) or e-mail (IASKNMC@uscg.mil).

What disqualifies you from getting an MMC?

Reason: Criminal convictions, especially those involving moral turpitude, assault, or theft, can affect a mariners MMC. The Coast Guard reviews convictions carefully, particularly if they occurred while on duty or involved alcohol, drugs, or violence.

How long does it take to get a Merchant Mariner Credential?

The NMC has set a net processing goal of 30 days. Mariner Credential Throughput is a ratio of the total number of applications finished divided by the total number of applications received.

Do you submit your medical exams to the Coast Guard for a license or certificate?

Once you take your medical exam we recommend submitting it to the USCG immediately. If this is your first submission to the USCG for licensing they will issue you your Merchant Mariner Reference number which you will use for the rest of your professional maritime career.

What is the meaning of 719K?

Form CG-719K: Application for Medical Certificate.

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Do I need a Merchant Mariner Credential?

It depends, if you are working on a United States (U.S.) merchant vessel that is greater than 100 Gross Register Tons (GRT) you are required to have a valid U.S. MMC.

What is a cg 719K form?

The Application for Merchant Mariner Medical Certificate for Entry Level Ratings (CG-719K/E) is required for entry level mariners. The examination and form must be completed within 12 months of application date.

Cg 719k 2002 form-2026

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