Saturday, February 27, 2016
Form CG_719K Merchant Mariner Medical Certificate
Department of Homeland Security U.S. Coast Guard Application for Merchant Mariner Medical certificate;
Updated Form CG_719K: https://www.uscg.mil/forms/cg/CG_719K.pdf
This form is required for applicants seeking a medical certificate and must be submitted to the Coast Guard. For those applicant seeking a raise in grade and haven't submitted this medical examination report within the last 3 years, they must submit this form as well. See the National Maritime Center for more information.