CG-719K Application for Medical Certificate
Application for Merchant Mariner Credentials and Medical Certificates
CG-719K Application for Medical Certificate
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
OMB: 1625-0040
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1625-0040 can be found here: