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U.S. Coast Guard Application Form Center

Coast Guard Forms

View or Download for Printing the (Acrobat) PDF File (click on applicable box)

License & MMD Application CG 719B Application
Fillable License & MMD Application (pdf form) CG-719B-F5

** See below notice

 http://www.uscg.mil/nmc/downloads.asp
Physical Examination Form CG 719K Physical Exam
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 
MMD Physical Fitness Form CG 719Ke MMD Phys.Fitness Form
MMD Camera Set Up Form MMD Camera Set Up Form
USCG License/MMD Renewal Guide License/MMD Renewal Guide
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
 

**NMC Develops Fillable Application Form

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

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

An important note 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.

 
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Last modified: August 12, 2008