The U.S. Coast Guard’s National Maritime Center issued the following communication on Jan. 18. To access the bulletin on the NMC website (in PDF format), click HERE
On January 4, 2013, the Office of Management and Budget approved the new version of the Coast
Guard forms used to apply for a Merchant Mariner Credential:
719K Medical Evaluation
719KE Evaluation of Fitness for Entry Level Ratings
719S Small Vessel Sea Service
719P Periodic Drug Testing
The data collected on the updated forms is nearly identical to the previous series of forms; however,
several of these forms have undergone significant format revision. The new expiration date of these
forms is January 31, 2016.
Implementation of these forms will commence on or about January 28, 2013. The Coast Guard will
not stock the updated CG-719 series forms in paper format. These forms will be available
electronically in a PDF fill-able format at the National Maritime Center’s website
The Coast Guard has authorized a transition period that will provide mariners the flexibility to apply
for a credential using the old and/or new forms as everyone adapts to the new formats. The table
below outlines the implementation policy for the new versions of the forms.
Form -- Implementation Policy
CG-719B -- Applications dated after April 30, 2013 must be on the new form.
CG-719K -- Physicals signed by a physician after April 30, 2013 must be on the new form.
CG-719KE -- Physicals signed by a physician after April 30, 2013 must be on the new form.
CG-719P -- Drug tests collected and submitted after April 30, 2013 must be on the new form.
CG-719S -- Small Vessel Sea Service commenced after April 30, 2013 must be on the new form.
Mariners and other providers should contact the Customer Service Center at IASKNMC@uscg.mil
or 888-IASKNMC (888-427-5662) with any questions or feedback regarding new forms.