8440 – 4 th Street North, St. Petersburg, FL 33702, (727) 577-3992, Fax (727) 522-3155 INSTRUCTIONS FOR COMPLETION OF COAST GUARD FORMS Enclosed are forms and examples to be used when completing the paperwork for the Coast Guard. Be sure to refer to the “Evaluation Guidelines” sheet when working on your forms. Do not apply for licenses for which you are not qualified. It will only force the Coast Guard to deny your application. If you are not a U.S. citizen you will need to prove that you have a green card, and you will have to produce a Social Security Card. Your license will be limited to Undocumented, Uninspected Passenger Vessels. Contact Sea School if you have any questions on this matter. The Sea School office nearest you will have details on test schedules. Generally, these are your choices when filing paperwork: 1. Send your paperwork to Sea School as soon as it is completed. We will check it for accuracy and return it to you for corrections and subsequent filing. The turnaround time for this service is generally less than one week. 2. Send your paperwork directly to the USCG. You are on your own with this method. Walk-ins for In person paperwork reviews at the USCG are not allowed by any offices that we know of. Turnaround time for the Coast Guard to notify you of errors is considerably longer than our review time. We do not recommend sending your paperwork to the Coast Guard until it has been reviewed. We need from you: ALL forms signed as indicated on the samples. NO pencil (use black or blue ink) NO blanks if the samples show that information is needed We’ll do our best to smooth the way for you CGFORMS2.doc
Transcript
8440 – 4th Street North, St. Petersburg, FL 33702, (727) 577-3992, Fax (727) 522-3155
INSTRUCTIONS FOR COMPLETION OF COAST GUARD FORMS
Enclosed are forms and examples to be used when completing the paperwork for the Coast Guard. Be sure to refer to the “Evaluation Guidelines” sheet when working on your forms. Do not apply for licenses for which you are not qualified. It will only force the Coast Guard to deny your application. If you are not a U.S. citizen you will need to prove that you have a green card, and you will have to produce a Social Security Card. Your license will be limited to Undocumented, Uninspected Passenger Vessels. Contact Sea School if you have any questions on this matter. The Sea School office nearest you will have details on test schedules. Generally, these are your choices when filing paperwork: 1. Send your paperwork to Sea School as soon as it is completed. We will check it for accuracy and return it to you for corrections and subsequent filing. The turnaround time for this service is generally less than one week. 2. Send your paperwork directly to the USCG. You are on your own with this method. Walk-ins for In person paperwork reviews at the USCG are not allowed by any offices that we know of. Turnaround time for the Coast Guard to notify you of errors is considerably longer than our review time. We do not recommend sending your paperwork to the Coast Guard until it has been reviewed. We need from you: ALL forms signed as indicated on the samples.
NO pencil (use black or blue ink) NO blanks if the samples show that information is needed We’ll do our best to smooth the way for you CGFORMS2.doc
8440 – 4th Street North, St. Petersburg, FL 33702, (727) 577-3992, Fax (727) 522-3155
IMPORTANT INFORMATION ABOUT COSTS, FEES AND OTHER
EXPENSES ASSOCIATED WITH THE LICENSING PROCESS
If you attend a Coast Guard approved course or a license prep course, there will be costs for the training. The costs will generally include some of your training materials and a guarantee of success.
Additional required supplies could include a plotting gear (dividers and parallel rule), and perhaps a Time-Speed Distance or hand held calculator (costs vary from $30 upward).
There will also be costs associated with a physical exam and drug screen, as well as CPR and First Aid training (all required by the Coast Guard for original license transactions). Costs vary greatly depending on where you are, and where you shop (usual range is from $100 to $150). These things do NOT need to be accomplished before our course is taken.
There are fees for license evaluation and issuance by the Coast Guard ($145 for original license), and a fee for testing. Paperwork review by Sea School prior to submission to the USCG will be $35 for original licenses (not required, but a valuable service).
Testing fees are paid to the testing organization. For example, if taking an approved course, the approved school will collect the test fee ($80) for a full test for an original license. If the Coast Guard gives the test, they will collect a fee, usually a higher amount.
Test fees authorize the student to have three attempts at the exam, after which a waiting period may be imposed, and an additional test fee will be required. This applies to private approved schools and to the Coast Guard as mandated by the Code of Federal Regulations.
If testing at a remote location, the organization traveling to give the test will collect a fee (usually around $25) to cover travel expenses for the trip. If no travel is involved by the testing organization, there is no additional fee to pay. That means testing at a fixed school office offering the exams.
The fee structure for other Coast Guard transactions may differ from the above. Call the Sea School licensing Hotline at 1-800-237-8663 for specifics.
costs7.doc10/10
8440 4th Street North, St. Petersburg, FL 33702, (727) 577-3992, Fax (727) 522-3155
THE COAST GUARD PAPER CHASE
SEA SCHOOL provides the best paperwork package of forms and instructions for getting your license.From 6-Pack to 100 ton Master, we provide everything you need.
We strongly urge you to use our forms packages rather than any supplied by the Coast Guard. Theyusually provide many more forms than you will need for any given license, and explanations on theiruse are limited.
Have questions? Just call. We=ll provide accurate answers, or get them for you.
In order to expedite processing, you may file your paperwork directly with the Coast Guard. We urgeyou to check every line on every form carefully for errors and/or omissions before you do.
If you want your paperwork checked by our staff before filing, simply mail the forms to our office forquick and accurate review. There is a modest cost for this service at $35 for original licenses andraises of grade. Renewal forms are reviewed at a nominal $25 charge. Tonnage increases and otherminor endorsement requests are reviewed without charge.
If we find problems, we will advise you as to how to correct them. We=ll let you know if something youhave done will put you in a gray area of Coast Guard policy, and how to deal with it if a problem comesup.
To check an application=s status with the Coast Guard: 1-888-427-5662
review$2.dcc (0316)
NATIONAL MARITIME CENTER DETACHMENTS KNOWN AS REGIONAL EXAMINATION CENTERS (RECs)
(As listed on USCG web site 06/17/15) ALASKA, Anchorage U.S. Coast Guard, Marine Safety Office (REC),
222 W. 7th Ave., Box 55, Room 156, Anchorage AK 99515
ALASKA, Juneau U.S. Coast Guard, Marine Safety Office (REC), (907) 463-2458 9105 Mendenhall Mall Rd. Suite 170, Juneau AK 99801 CALIFORNIA, Oakland U.S. Coast Guard, Marine Safety Office (REC), Federal Bldg,
North Tower, 1301 Clay St. Rm. 180N, Oakland CA 94612-5200
CALIFORNIA, Long Beach U.S. Coast Guard, Marine Safety Office (REC), 501 W. Ocean Blvd, Ste 6200, Long Beach CA 90802 FLORIDA, Miami U.S. Coast Guard, Marine Safety Office (REC), (305) 536-6548 6th Floor, Federal Building, 51 SW First Ave., Miami FL 33130-1608 HAWAII, Honolulu U.S. Coast Guard, Regional Exam Center ( REC), (808) 522-8264 Honolulu Harbor Pier 4 433 Ala Moana Blvd. Honolulu HI 96813 LOUISIANA, New Orleans U.S. Coast Guard, Regional Exam Center (REC) (985) 624-5700 4250 Hwy 22, Suite F, Mandeville LA 70471 MARYLAND, Baltimore U.S. Coast Guard, Marine Safety Office (REC), US Custom
House, Rm 420, 40 S. Gay St., Baltimore MD 21202-4022 MASSACHUSETTS, Boston U.S. Coast Guard, Marine Safety Office (REC), (617) 223-3040 455 Commercial St., Boston MA 02109-1045 MISSOURI, St. Louis U.S. Coast Guard, Marine Safety Office (REC), (314) 539-3091 Suite 7.105, 1222 Spruce St., St. Louis MO 63103-2846 NEW YORK, New York U.S. Coast Guard Activities New York, (REC), Battery Park Bldg., 1 South St., New York NY 10004-1466 OHIO, Toledo U.S. Coast Guard, Marine Safety Office (REC), 420 Madison
Ave., Suite 700, Toledo OH 43604-1209 OREGON, Portland U.S. Coast Guard, Marine Safety Office (REC), (503) 240-9346 911 NE 11
th Ave, Rm 637, Portland OR 97232
S. CAROLINA, Charleston U.S. Coast Guard, Marine Safety Office (REC), (843) 720-3250 196 Tradd St., Charleston SC 29401-1899 TENNESSEE, Memphis U.S. Coast Guard, Marine Safety Office (REC), (901) 544-3297 200 Jefferson Ave., Suite 1301, Memphis TN 38103-2300 TEXAS, Houston U.S. Coast Guard, Marine Inspection Office (REC), (713) 948-3350 8876 Gulf Freeway, Suite 200, Houston TX 77017-6595 WASHINGTON, Seattle U.S. Coast Guard, Marine Inspection Office (REC), (206) 220-7327 915 Second Ave., Rm. 194, Seattle WA 98174-1067 The Coast Guard has requested that all phone calls to the RECs be made through the National Maritime Center at (888) 427-5662. LIST.doc (0916)
7
8440 4
th Street North, St. Petersburg, FL 33702 (727) 577-3992 Fax: (727) 522-3155
Make sure your license or document application is correct the FIRST time
Many applications are returned due to missing information, unsigned documents, etc. Sea School’s checkoff lists and example forms have been provided to help you get your application correct the first time. But, if you want us to confirm that your application is ready, we provide an application review service for just $35. Here’s what you get:
Your application is reviewed by a trained staff evaluator at Sea School Headquarters in St.
Petersburg, FL
If there is missing information, we will insure completion
We will deliver your application to the USCG
Your application will be stamped “REVIEWED BY SEA SCHOOL”. While this carries no official
status, it lets the Coast Guard examiners know that it has been reviewed by us for completeness
and accuracy.
Please note: Sea School’s front office staff is not authorized to review application paperwork. While they may be willing to “put an eye” on your paperwork, they are not trained to review your application and they can make no assurance that it is correct. Please Review my application… Name: _______________________________________ Address: _____________________________________ Phone: ______________________________________ Email: _______________________________________ What to include:
Your license or document application
Check or MO made out to Sea School: $35 for Original or $25 for Renewal
For Licenses: a check for $145 for Original or $95 for Renewal made out to U.S. Coast Guard or
copy of Pay.Gov receipt. (instructions in Sea School package) For other documents, i.e AB, a
check for $140 for Original or $95 for Renewal.
Please Send Completed Application to: Sea School 8440 4
th Street North
St. Petersburg, FL 33702
TO: SEA SCHOOL, 8440 - 4th Street North, St. Petersburg, FL 33702
FROM (Print Name)____________________________
ADDRESS ___________________________________
CITY _________________STATE_____ZIP_________
LICENSE REQUESTED ________________________ Please review my paperwork for the license indicated. Check items as completed.
_____ My application has been prepared in ink or typewritten. Appropriate blanks
have been filled in. I have only requested licenses and/or endorsements for which I am qualified by experience
A copy of my diploma is attached for each requested license or endorsement Fingerprints to be provided by TSA via the TWIC program Oath provided by a notary public or other person authorized to take oaths
_____My Sea Service forms have been signed, and verification letters or forms
have been supplied for service on vessels other than my own. Boat registration or documentation numbers have been provided. For service on my own vessels, photocopies of proof of ownership of the vessels are included
_____I have carefully checked the addition on the forms to see that the service meets
the minimum required for the license requested on the application _____My physical is enclosed (copy OK). It meets the requirements as shown on the
form. All required blanks have been filled in by the physician. Physical is less than one year old
____ My drug screen is enclosed. It was performed by an approved lab at an
approved location, and certified negative by a licensed physician who is trained in drug screening procedures and has Federal authorization to act as a Medical Review Officer (MRO). Alternately, a notice of compliance from an approved consortium may be used. Certification is less than six months old. Document copies are preferred over originals
____Copy of a valid CPR card or certification from an approved source is enclosed. ____Copy of a First Aid card (or certification) from an approved source, less than one
year old, is enclosed. ____Copy of Social Security Card or federal government issued evidence of the number is enclosed.
____ Proof of Citizenship is required. It should be certified in conjunction with the
TWIC program, along with the fingerprinting requirement. Send a photocopy as a backup to TWIC errors in processing.
____ If not a citizen of the U.S. license will be limited to Undocumented Uninspected
vessels (holding a green card and US Social Security Card are requirements also).
____ A check for $145 payable to the U.S. Coast Guard is attached to these forms (if
you wish us to file with the Coast Guard). Alternately, you may use www.pay.gov for credit card payment. Fees are $100 for evaluation, $45 for issuance. Pay.gov receipt must be enclosed with application package. See next page for instructions on using Pay.Gov.
_____A copy of the front of your TWIC card or evidence of having applied for one is enclosed. In order to expedite processing at the USCG, they have requested that you contact TSA at 1-866-347-8942, press 5 for existing card info, and make sure that you are registered with the occupation code as “Merchant Mariner”. Ask the operator for your “ticket number” and write it on the photocopy of your card _____Paperwork review by Sea School is hereby requested. The review fee for
original documents is $35. (an optional service) Completed files may be forwarded to Sea School for review, or may be mailed to a Coast Guard Regional Exam Center (REC) of your choice for forwarding to the National Maritime Center (NMC) in West Virginia. You may not mail directly to the NMC. A list of Coast Guard RECs is enclosed. Review10.doc 1015
8440 – 4th Street North, St. Petersburg, FL 33702, (727) 577-3992, Fax (727) 522-3155 Subject: PAY.GOV simplified instructions:
1. Start with www.pay.gov and access the web site
2. Click on “Agency List”
3. click and choose alphabet letter “U”
4. choose “US Coast Guard Mariner User Fee”
5. choose ”continue”
6. fill in personal date, then choose “Evaluation Fee”
7. Choose either $100 for original, or $50 for renewal or modification of documents
8. Skip “exam fees”
9. Choose $45 issue fee
10. complete the process
You will have paid either $145 for original license or raise of grade, or $95 for renewal or increase in scope (endorsement, tonnage increase, etc.) Print out the receipt to include with your paperwork package to the USCG
The
CoastG
uard
isallo
win
gm
ariners
with
out
ava
lidT
WIC
who
opera
teon-b
oard
vessels
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aV
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toacquire
and
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an
MM
C.T
he
applic
antm
usthave
held
pr
applie
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been
qualif
ied
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aT
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the
Tra
nsport
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nS
ecurity
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inis
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n(T
SA
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his
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yw
ilapply
tom
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eor
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ting
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auth
ority
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their
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well
as
those
who
serv
eon
vessels
thatare
not
required
tohave
aV
SP
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ee
“Denia
lof
Need”
form
enclo
sed.)
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inclu
de:
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nin
specte
dpassenger
vessels
of
less
than
100
gro
ss
regis
ter
tons
(GR
T)
•V
essels
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assis
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ectio
n104.105(a
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his
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inclu
siv
e.
Mariners
on
such
vessels
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be
perm
itted
tore
new
an
exis
ting
cre
dentia
lwith
out
subm
ittin
gpro
of
of
hold
ing
ava
lidT
WIC
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Vessels
thatare
required
tohave
aV
SP
inclu
de:
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obile
Off
shore
Drilli
ng
Unit
(MO
DU
)•
Carg
oor
passenger
vessels
ubje
ctto
the
Inte
rnatio
nalC
onve
ntio
nof
Safe
tyof
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atS
ea,1974
(SO
LA
S)
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rX
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or
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rX
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•T
ow
ing
vessels
gre
ate
rth
an
eig
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ete
rsin
regis
tere
dle
ngth
engaged
into
win
gbarg
es
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assenger
vessels
cert
ifie
dto
carr
ym
ore
than
150
passengers
.N
OT
E:
This
listis
notall
inclu
siv
e.
Mariners
who
are
bein
gis
sued
an
initi
alM
MC
,or
who
neve
rheld
aT
WIC
,w
illneed
toenro
llfo
ra
TW
ICata
TW
ICenro
llmentcente
r.T
hey
will
als
ohave
topay
all
applic
able
fees
associa
ted
with
gettin
ga
TW
IC.T
his
isre
quired
because
the
TW
ICenro
llmentcente
ris
the
only
pla
ce
where
the
CoastG
uard
can
obta
inbio
metr
icin
form
atio
n(f
ingerp
rints
)fr
om
the
applic
ant.
The
Tra
nsport
atio
nS
ecurity
Adm
inis
tratio
n(T
SA
)w
illals
ocontin
ue
toconductall
scre
enin
gs.M
ariners
associa
ted
with
vessels
notre
quired
tohave
aV
SP
will
notb
required
tore
turn
toth
eT
WIC
enro
llmentcente
rto
pic
kup
their
TW
ICas
apre
conditi
on
for
receiv
ing
their
initi
alM
MC
.
For
mariners
renew
ing
their
MM
C,w
ho
do
not
require
aT
WIC
,th
ey
may
skip
the
TW
ICenro
llmentpro
cess
and
apply
for
an
MM
Cata
Regio
nalE
xam
Cente
r(R
EC
).If
am
ariner
chooses
todo
this
,only
criin
alb
ackgro
und
data
from
pre
vious
applic
atio
ns
will
be
ava
ilable
.
The
Safe
tyand
Suita
bili
ty“b
ackgro
und
check”
conducte
dby
the
NM
Cw
illbe
nam
ebased.If
the
mariner
chooses
this
optio
n,
they
will
need
toaff
irm
ativ
ely
indic
ate
that
they
do
notdesire
aT
WIC
and
thatth
ey
unders
tand
thatth
ey
do
notdesire
aT
WIC
and
thatth
ey
unders
tand
thatnam
ebased
pro
cessin
gcould
sig
nific
antly
dela
yth
eir
cre
dentia
lpro
cessin
g.A
sam
ple
sta
tem
entfo
rth
ism
ay
be
found
at
http://w
ww
.uscg.m
il/nm
c/tw
ic/s
am
ple
_b.p
df.
With
regard
toin
spectio
nenfo
rcem
ent,
the
CoastG
uard
will
change
itsenfo
rcem
ent
polic
ies
so
thata
mariner
who
does
nothold
aT
WIC
,or
hold
san
expired
TW
ICbuta
curr
entM
MC
,w
illnotbe
consid
ere
din
viola
tion
of
the
applic
able
regula
tions.
The
CoastG
uard
isconsid
ering
are
gula
tory
pro
jectth
atw
ould
pro
pose
toadju
sta
port
ion
of
the
MM
Cfe
es
tocom
pensate
mariners
for
costs
associa
ted
with
enro
lling
for
aT
WIC
.T
his
regula
tion
isstil
lin
deve
lopm
ent,
butth
eC
oastG
uard
inte
nds
tocom
pete
the
rule
inaccord
ance
with
the
timelin
esetfo
rth
inth
eU
nifie
dA
genda
of
Regula
tory
and
Dere
gula
tory
Actio
n(h
ttp://w
ww
.regin
fo.g
ov/
public
/do/e
AgendaM
ain
).T
he
CoastG
uard
welc
om
es
feedback
on
this
pro
cess,and
inte
nds
toseek
and
respond
topublic
com
ments
on
the
regula
tion.U
ntil
such
are
gula
tion
becom
es
eff
ectiv
e,th
eexis
ting
MM
Cand
TW
ICfe
estr
uctu
res
rem
ain
inpla
ce.
For
alis
tof
Fre
quently
Asked
Questio
ns
and
answ
ers
,ple
ase
visit
http://w
ww
luscg.m
il/nm
c/f
az.
asp.
PROOF OF OWNERSHIP
For service on your own vessel the Coast Guard requires that you provide proof ofvessel ownership. They will consider:
I. Any one of the following:(A) Copy of current or past vessel documentation showing ownership, or(B) Copy of current or past state registration, or(C) Copy of bill of sale from vessel purchase or sale, or(D) Copy of vessel insurance documents identifying vessel and applicant, or(E) Letter from USCG District Director of Auxiliary verifying ownership
OR
II. Any TWO of the following:(A) Customs clearance documents relative to the claim of ownership(B) Sufficient fuel and/or repair bills relative to the vessel and the applicant(C) Copies of berthing and/or mooring rental/lease agreements(D) Notarized letters from USCG licensed mariners attesting to the ownership(E) Notarized letters attesting to vessel ownership from:
1. Dockmaster, or2. Vessel repair facility, boatwright, installer, or officer of yacht club, or3. USCG Auxiliary Division Commander or US Power Squadron officer
SAMPLE
10
10
JANUARY (YEAR) (DAYS)
FEBRUARY (YEAR) (DAYS)
MARCH(YEAR) (DAYS)
APRIL(YEAR) (DAYS)
MAY(YEAR) (DAYS)
JUNE(YEAR) (DAYS)
2011201020092008
10987
2011201020092008
7788
2011201020092008
879
2011201020092008
978
2011201020092008
79
2011201020092008
91087
10810
JULY(YEAR) (DAYS)
AUGUST(YEAR) (DAYS)
SEPTEMBER (YEAR) (DAYS)
OCTOBER(YEAR) (DAYS)
NOVEMBER (YEAR) (DAYS)
DECEMBER (YEAR) (DAYS)
2011201020092008
2 2011201020092008
7632
2011201020092008
793
201120102009
9 201120102009
87
201120102009
1098
17182
8 1010
RETRIEVAL OF FEDERAL DOCUMENTATION NUMBERS
Three ways are shown:
1. U.S. Coast Guard’s National Vessel Documentation Center - 1-800-799-8362
2. U.S. Coast Guard Maritime Information Exchange on the web: http://cgmix.uscg.mil/
The second option on the menu at the left is PSIX. Click on it.
On the PSIX page you will see “Vessel Search”. Click on it to be able to searchby vessel name, number, call sign, hull number, flag, type of service, and/or yearbuilt.
3. National Marine Fisheries Service on the web:http://www.st.nmfs.gov/st1/commercial/landings/cg_vessels.html
Allows search by vessel name, or the option to switch pages to search by vesselID (Documentation) number.
Feddoc04
Cyntha
Text Box
Cyntha
Text Box
8440 – 4th Street North, St. Petersburg, FL 33702, (727) 577-3992, Fax (727) 522-3155
PHYSICAL STANDARDS FOR U.S. COAST GUARD LICENSES Based on the U.S. Coast Guard document entitled “NVIC 04-08"
1. Eyesight, at least 20/200 (the big E at the top of the eye chart), correctable to 20/40 or better, in
at least one eye. Waivers may be available in some cases. Uncorrected vision MUST be shown on the physical, and correctable vision must be shown if uncorrected is worse than 20/40. Monocular vision requires verification that the applicant has compensated for lack of depth perception.
2. Color perception - normal by any of the methods shown. Method used MUST be indicated on
the form, as well as number of errors when tested. Waivers available in some cases for color blindness.
3. Hearing - testing is ONLY required if physician believes hearing is abnormal. 4. Cardiac - any abnormal indications in the past will have to be explained. Stress tests may be
required. Contact Sea School for details if unsure. Hypertension - Blood pressure 160/100 or lower, regardless of whether or not medications are
used to accomplish the control. 5. Lung diseases - any incapacitating diseases or those requiring corticosteriod medications may
be disqualifying conditions. Pulmonary function tests may be required. 6. Orthopedic - amputations, deformity or arthritis resulting in impaired motion may require further
evaluation and demonstration of abilities. 7. Diabetes - Well controlled Insulin dependent diabetes or well controlled non-insulin dependent
diabetes may no longer be disqualifying. Contact Sea School for details if unsure. 8. Neurologic - any convulsive disorder regardless of control by medication requires further
evaluation. 9. Psychiatric - primary psychosis or use of psychotropic medications requires further evaluation. 10. Medications - Anticoagulants (Warfarin, Coumadin), systemic corticosteriods, psychotropic
medications, medications with debilitating side effects, and addictive painkillers require further evaluation.
Further evaluation means that the file with all supporting documentation may be sent to the Coast Guard’s National Maritime Center for additional review and consideration. physstds 1015
8440 – 4th Street North, St. Petersburg, FL 33702, (727) 577-3992, Fax (727) 522-3155
ACTIVE CONDITIONS
The USCG is very strict when it comes to information contained on the applicant’s physical
exam paperwork.
In order to shed some light on this situation, we call your attention to the Coast Guard
document NVIC 04-08 which is a policy explanation of their regulations regarding physical
exams required for license and document issuance.
On page 1 of enclosure (3), item 1 of the “Medical and Physical Evaluation Guidelines…” of
the document says: “Active Condition. If not specified as “history of” in this table, a condition
must be currently active to be subject to further review. For purposes of this enclosure, “active”
means that the applicant is currently under treatment for the condition, or that the applicant is
currently under observation for possible worsening or recurrence of the condition, or that the
condition is currently present.”
In other words, don’t allow the physical to be an exercise in your irrelevant personal history.
It is a current physical!
There are a few key words that, when used, will trigger a response from the USCG asking for
more information from the applicant and his or her medical care provider. Those key words
include, but are not limited to: Sleep Apnea, Anxiety, ADD/ADHD, Bipolar Disorder,
Depression, COPD, and the use of addictive and/or mood altering medications.
SIMPLIFIED DRUG TESTING PROCEDURES
A drug test from an approved lab, certified as negative by a licensed physician, is now required forany license or document transaction with the Coast Guard if that transaction requires a physical.Sounds simple! It is if you follow the step by step procedures:
1. Contact a licensed physician (MD or DO only) and ask if he or she can arrange for a drug testapproved by the Department of Transportation (DOT). The test must be by a lab authorized bySubstance Abuse and Mental Health Services Administration (SAMHSA).
2. Verify that the physician has been trained and certified by the appropriate federal agency in drugtesting procedures. A new Federal Regulation requires that physicians receive special trainingbefore they can act as Medical Review Officers (MROs). Physician must identify the qualifyingorganization and registration number in the lower right corner of the Periodic Drug Testing Form.
3. If yes to both 1 and 2 above, ask costs. If satisfactory, go have it done.
4. Make sure that the lab name AND location is on the list provided. If it is not, it is unacceptable.The test can only be for the 7 listed drugs (regulations changed from 5 to 7 during 2010). Nomore, no less! ONLY the 7 drugs listed can be tested for. The official USCG form still only shows 5,but all approved labs test for the 7 as required.
5. Collection personnel send the urine sample (urine, not blood) to one of the approved labs at oneof their approved locations.
This test must be done "Blind." That means the lab only has a control number and physicianinformation to return the results to. Labs cannot have your name or address. That's why you need tofind a physician or collection organization that knows what to do. Approved drug consortiums are anideal source to use. You can't go directly to one of the labs on the approved list.
6. Lab runs the test and returns the results to the doctor.
7. Doctor matches up the lab results with your information and fills out the proper form completely.
8. Doctor sends the form to you, not to the USCG. Photocopies are acceptable to the USCG.
9. You submit the form to the Coast Guard with the rest of your paperwork. Do not send the labreport to the Coast Guard. Drug tests must be less than 6 months old, physicals less than oneyear old.
SUMMARY:1. Find a doctor willing and ABLE to do the drug test2. Check the form received from the doctor to be sure it is properly and completely filled out3. Submit the form to the Coast Guard with other required paperwork
A list of approved labs and their approved locations is available for your physician by mail or fax. Thelist is for your physician’s use only. You may not contact the approved lab directly.
SEE OTHER SIDE FOR ADDITIONAL IMPORTANT INFORMATION
WHEN DO YOU NEED A DRUG TEST FOR THE COAST GUARD?
Every transaction involving:
1. Original license application
2. Renewal of License (except continuity renewal)
3. Raise of Grade of License (does not include gross tonnage increase in scope)
1. Evidence of passing the proper test within the previous 6 months with no positive test since,or
2. Evidence of being subject to a Maritime random testing program for at least 60 of theprevious 185 days, and did not fail, and did not refuse to test.
NOTE: If employed in the maritime field, mariners need to be subject to random testing. This can be acompany sponsored plan or outside consortium (a group of individuals banding together, sponsoredby an organization).
Drug tests (or letters of compliance from consortiums) need to be less than 6 months old whensubmitted. Physicals, when required, need to be less than one year old for most transactions. Raisesof Grade require a valid Medical Certificate or, if not available, a new physical.
SIMPLDT.doc (10/1610)
NATIONAL CAPTAIN’S INSTITUTE, INC.Post Office Box 11834, St. Petersburg, Florida 33733
National Captain's Institute, Inc., a not-for-profit educational institution, is offering anautomatic renewal notification program for Captain's licenses and Merchant Mariner'sDocuments.
Coast Guard Licenses and Documents are good for a period of five years, and thereis NO notification sent prior to expiration. The license holder must remember to applyfor renewal or the license or document may expire.
Licenses and documents may be renewed up to 360 days prior to expiration, but afterexpiration they cannot be used. In order to avoid having to go through the wholepaperwork and testing procedure for a new license or document, the prudent marinerrenews prior to expiration.
Recent regulatory and policy changes has caused the renewal process at the Regional ExamCenters to take considerably longer than was formerly the case. This is especially true wherephysical and other waivers have to be reconsidered by the Coast Guard.
This program will notify you approximately six months in advance of expiration of yourdocument, and will advise you of the renewal procedures currently in use by the Coast Guardalong with helpful hints on renewing with as little effort as possible.
The fee for registration is only $5.00.
If you hold both a license and a document, you may renew the document early so itsexpiration date will coincide with that of the license for ease of future renewals. Askyour Regional Exam Center for procedures and forms. Renewing both together alsosaves money as the user fees for evaluation are combined.
If interested, you are urged to complete the enclosed registration form promptly andreturn it to the address above.
You've worked hard for your ticket. Don't lose it!
RENEWAL NOTIFICATION REGISTRATION
Please register me for the automatic renewal notification program. Mycheck or Money Order for the $5 fee, payable to NCI, is enclosed.
Date _______________
Name _____________________________________________________
*NOTE: Please do not attempt to register an original license or document untilyou receive it. The Issue and/or Expiration dates must be submitted before wecan enter the data into the computer.
