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Uscg mil Form: What You Should Know
Guard Pay & Personnel Center. Application to obtain Merchant Mariner Certificate Form CG-719K. Item 18 — Age Restrictions — Applicants must be at least 20 years old to apply for this permit. Item 19 — Applicant's Criminal Record — Applicants may be required to submit a copy of such criminal records with the application. Item 20 — Applicant's Credit Score — Applicants must submit a copy of their credit score with the application. Applicant's name, credit score, and address must be shown on the Credit Score Authorization Form. Items 21 – 25 — If the applicant is a member of the armed forces, all personal identifying information must be included in the online application. If the applicant is a merchant mariner applying for the same permit, all personal identifying information must be included in the online application in Section II. Section II: Medical Report FORM CG-714K-B The applicant will be required to submit a medical report documenting the applicant's ability to perform the specified job in accordance with requirements and training. The report must include the information specified in paragraphs 16 and 17 of the Medical Certificate, and a statement that the applicant is: 1. Not a person who has been the subject of domestic violence proceedings in any court or other civil, criminal or administrative proceedings in the United States; and 2. Not currently subject to an administrative or criminal probation period. The medical report must reflect the applicant's ability to perform the specified job on a routine basis without serious limitation, taking into account: 1. Age; 2. Medical history; and 3. Job duties, as determined by the person in charge of the job. Persons in charge of the job must: 1. Be familiar with applicable Federal, State and Local laws and regulations regarding domestic violence; 2. Be familiar with the law on the qualifications of service members for domestic violence employment; 3. Have a reasonable basis for suggesting that the applicant be granted a waiver from the medical examination requirement in order to obtain a waiver; and 4. Obtain an administrative waiver in the event medical examination and waiver procedures are denied due to the information submitted. The medical report form may be submitted to the U.S. Coast Guard Pay & Personnel Center, Mail Stop: CMM PGC, Room 1501, Marine Inspection, Port Livid ale, CA 92.
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