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Merchant mariner physical form 2026

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  1. Click ‘Get Form’ to open the merchant mariner physical examination report in the editor.
  2. Begin by filling out Section I, which requires your personal information such as name, date of birth, and social security number.
  3. Proceed to Section II to provide your physical details including eye color, hair color, weight, height, and blood pressure readings.
  4. In Section III, document your vision capabilities. Ensure you include both uncorrected and corrected vision metrics.
  5. Complete Section IV by indicating your color vision status. Choose from the specified tests and mark whether you pass or fail.
  6. Fill out Section V regarding hearing abilities. If impaired, complete the necessary audiometer tests.
  7. In Section VI, list all current medications along with their dosages and potential side effects.
  8. Finally, review Section VII for any medical conditions that may affect your fitness for duty. Provide detailed remarks if applicable.

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cg 719k e

CG-719K/E APPLICATION FOR MEDICAL CERTIFICATE,

Instructions ------. Who must submit this form? 1. Mariners applying for, or holding a Merchant Mariner Credential (MMC) with only an entry-level nationalRead more

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