Cg 719k Printable Form
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Cg 719k printable form. Application for medical certificate short form form cg 719ke created date. Merchant marine personal physical examination. Cg 719 ke forms to facilitate obtaining objective medical information which will enable the coast guard to make a more accurate assessment of mariner fitness for duty with the overall goal of reducing risk to maritime and public safety. Application for medical certificate form cg 719k instructions who must submit this form.
Guidance for completion of this form can be found at. Click this link to download form cg 719k merchant marine personal physical examination report. Download fillable form cg 719k in pdf the latest version applicable for 2020. Form cg 719k form cg 719k merchant marine personal physical examination report.
The revised cg 719k and 719ke forms more clearly align the merchant mariner credentialing process. Applicants seeking a medical certificate are required to complete this form and submit all 10 pages including instructions to the us. Form cg 719k is often used in coast guard forms united states coast guard united states federal legal forms and united states legal forms. Fill out the application for medical certificate online and print it out for free.