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The following forms apply to the Cadet Merchant Mariner Credential (MMC) application process. Detailed instructions and links to each of these forms can be found in the Cadet MMC Application Packet. The links below will also direct you to the corresponding form. To assist in the application process, several sample USCG forms can be accessed from the Sample Forms link. Please refer to the Cadet MMC Application Packet for instructions to correctly complete each required form!

Cadet MMC Application Forms:

 
Statements of Understanding - REQUIRED! Complete online. Print and sign with all statements initialed. Please include your personal email and cell phone.
 
MMC Application Third Party Release Form - REQUIRED!  Complete online. Check the "Act on my behalf in ALL Matters" box, sign, date, and include your Mariner Reference Number (found in your current credential).
 
MMC Medical Certification Third Party Release Form - REQUIRED! Complete online. Check the "Act on my behalf in ALL Matters" box, sign, date, and include your Mariner Reference Number (found in your current credential).
 
CG-719B MMC Application - REQUIRED! Complete online, using instructions in Cadet application packet, print last 3 pages single sided. DO NOT STAPLE! Please disregard first 3 instruction pages of this form! 
 
CG-719C Conviction Statement - if applicable - for all convictions including driving related convictions other than minor traffic violations. Failure to report convictions will delay your credential and may result in denial.
 
CG-719P DOT/USCG Periodic Drug Testing Form - if applicable - form and lab results only required if NOT a Cal Maritime student within the 6 months immediately preceding license application.
 
CG-719K Medical Certificate Application/PhysicalREQUIRED! Complete your portion online using instructions in the Cadet application packet, print last five pages (labeled 1-5) single sided. DO NOT STAPLE! Bring this form with you to your physical appointment. Please disregard first 3 instruction pages of this form! 
 

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