Cg 719c 2026

1. Click ‘Get Form’ to open the CG-719C in the editor.
2. In Section I, enter your Legal Name, including any aliases or maiden names. If you have a previous reference number from the Coast Guard, include it here along with your Social Security Number and Date of Birth.
3. Move to Section II for Conviction and/or Drug Use Disclosure. List each conviction by entering the exact charge, city, state/country, date of conviction, court findings, and any court sentence requirements. Provide a brief description of events leading to your arrest.
4. In Section III, sign and date the form to acknowledge that you understand the definition of 'conviction' and certify that all information provided is accurate.

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