CG-719K Application for Medical Certificate

Application for Merchant Mariner Credentials and Medical Certificates

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1625-0040 can be found here:

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File Type	application/pdf
File Title	CG-719K Application for Medical Certificate
Subject	CG-719K Application for Medical Certificate
Author	FYI, Inc.
File Modified	2025-03-10
File Created	2025-03-10