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CG-719K Application for Medical Certificate
Applications for Merchant Mariner Credentials and Medical Certificates
Application for Medical Certificate (Form CG-719K)
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
OMB: 1625-0040
OMB.report
DHS/USCG
OMB 1625-0040
ICR 202505-1625-001
IC 43932
CG-719K Application for Medical Certificate
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1625-0040 can be found here:
2025-07-17 - Revision of a currently approved collection
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File Type
application/pdf
File Title
Application for Medical Certificate (Form CG-719K)
Subject
Application for Medical Certificate (Form CG-719K)
Author
FYI, Inc.
File Modified
2025-02-03
File Created
2025-02-03
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