Posted: December 18, 2015

U.S. Coast Guard changes course on acceptance of old version of CG-719K form


The following bulletin was released December 17 by the U.S. Coast Guard's National Maritime Center. As was reported, prior to this notice, the National Maritime Center intended to require all CG-719K forms signed by a physician after December 31, 2015 to be the new version of the form.

Application for Medical Certificate for Officer and Qualified Rating Endorsements

Until further notice, the National Maritime Center (NMC) will continue to accept applications for medical certificates submitted via the U.S. Coast Guard form CG-719K Rev. (01-09) with an expiration date of June 30, 2012. Note that this form is not required; it is an alternative to the current version, form CG-719K Rev. (01-14) with an expiration date of January 31, 2016.

Mariners and other providers should contact the NMC Customer Service Center using our chat function, by , or by calling 1-888-IASKNMC (427-5662) with any questions regarding these forms.