USCG Forms

St. Petersburg, Florida

Phone: (727) 209-1811 Toll Free: 1-800-581-5509

U.S. Coast Guard Merchant Mariner Credentials (MMC) Application Form Center

*Coast Guard MMC Forms*	*View or Download for Printing the (Acrobat) PDF File (click on applicable box)*
About Mailing Your Merchant Mariner Credential (MMC) Applications to Regional Examination Centers
License & MMC Application	CG 719B Application
Fillable License & MMC Application (pdf form) CG-719B-F5 ** See below notice	http://www.uscg.mil/nmc/credentials_forms.asp
Fillable Physical Examination Form	CG-719K Physical Exam
Instruction Guide for NEW Physical Examination Form CG-719K	Form CG-719K Instruction Guide
Drug Testing Form	CG 719P Drug Testing
Drug Testing Instructions	Drug Testing Instructions
Small Vessel Sea Service Form	CG 719S Small Boat Service Form
Character References required by the U.S. Coast Guard for original license applications (Form 866 ATB)	Character Reference Form 866 ATB
Credit Card Form (CG User Fees)	Credit Card Form
Fillable MMC Physical Fitness Form	CG 719K/E MMC Phys.Fitness Form
MMC Camera Set Up Form	MMC Camera Set Up Form
USCG License/MMC Renewal Guide	License/MMC Renewal Guide
SAMPLE General Sea Service Letter	Sample General Sea Serivce Letter
SAMPLE Tankerman PIC Sea Service and Transfer Letter	Sample Tankerman PIC Service and Transfer Letter
SAMPLE Tankerman PIC (Barge) Sea Service/Employment and Transfer Letter	Sample Tankerman PIC (Barge) Service and Transfer Letter
Requests Pertaining to Military Records (For Military Sea Service Transcripts, etc.)	Standard Form 180a (front page) Standard Form 180b Instructions (back page)
WHERE TO SEND YOUR APPLICATION: U.S. Coast Guard Regional Examination Centers (RECs) Mailing Addresses and Telephone Numbers: http://www.uscg.mil/nmc/mmic_regions.asp USCG MMC New User Fees

**NMC Develops Fillable Application Forms

The U.S. Coast Guard (USCG) National Maritime Center (NMC) has developed an updated License and Document Application Form (Form 719B F-5) and the Physical Examination (719K) and Evaluation of Fitness (719 K/E) Forms, which allows mariners to complete the form electronically. However, it is important to note that a signed and dated copy of the forms must still be mailed or hand-delivered to the local U.S. Coast Guard Regional Examination Center (REC).

The new forms are also expected to reduce the number of delays and errors, which primarily occur due to difficulty in reading the hand-written forms. These forms are the steps in NMC’s goal of online applications.

An important note for the (Form 719B F-5) relates to the "check form" button, which is located on the bottom of pages two and four. The button reviews all of the entered information and prompts the user to add, change, or correct information based on basic business rules. However, the check button feature will only work in Adobe Reader, vice Adobe Acrobat, so information cannot be saved after it has been entered.