1. Entry - Level MMD W i z a r d U. S. Coast Guard Mariner Licensing & Documentation Entry-Level MMD Wizard was designed to assist mariners and licensing professionals with making application for an Entry Level Merchant Mariners Document (MMD). This Wizard does not assist with the issuance or renewal of the Transportation Worker Identification Credential (TWIC). The Transportation Security Administration (TSA) is the responsible agency for the issuance and renewal of the TWIC. Please access www.tsa.gov/twic for the latest info regarding the TWIC.www.tsa.gov/twic

2. You can also use the menus to navigate, similar to web page navigation. Click on the topic you want to display or review. Simply click to advance through the slide presentation, or Getting Started Sub menus will appear when necessary. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links AboutInstructions...

3. Applicable law supersedes all information contained herein… Getting Started Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links AboutDisclaimer...

4. Getting Started Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links About USCG Credential Issued Complete & Accurate Application Proper User Fees Original Proof of Citizenship or Nationality 2 Passport Photos & Camera Set-up Form Complete & Accurate Certification of Fitness Acceptable (negative) Drug Test Original Proof of Identity & SSN Safety & Security Background Clearance Fingerprinted by REC Personnel Return to Applicant Overview...

5. Getting Started 46 United States Code Annotated (U.S.C.A.), Title 46Shipping. Code of Federal Regulations (CFR), Title 46, Parts 1 to 40Shipping. Marine Safety Manual (MSM), Volume III, Marine Industry Personnel, COMDTINST M16000.8 (Series). Applicable Navigation and Vessel Inspection Circulars (NVICs). Applicable USCG Policy Letters & Guidance Documents. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links AboutReferences...

6. Getting Started You may apply in person at any Regional Examination Center (REC). Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links About Where to Apply...

7. Anchorage USCG REC Anchorage 800 E. Diamond Blvd, Suite 3-227 Anchorage, AK 99515 (907) 271-6736 (907) 271-6742 (Fax) rec@cgalaska.uscg.mil Guam (Monitoring Unit) USCG REC Guam PSC 455, Box 176 FPO AP, Guam 96570-1056 (671) 339-2001, Ext 153 (671) 339-2005 (Fax) RECGuam@D14.uscg.mil Ketchikan (Monitoring Unit) USCG REC Ketchikan 1621 Tongass Avenue, Suite 202 Ketchikan, AK 99901 (907) 225-4496 (907) 225-4499 (Fax) D17-PF-MSOJunREC@uscg.mil Baltimore USCG REC Baltimore 40 South Gay Street, Room 420 Baltimore, MD 21202-4022 (410) 962-5132/5147 (410) 962-0930 (Fax) Honolulu USCG REC Honolulu 433 Ala Moana Blvd Honolulu, HI 96813-4909 (808) 522-8264 (808) 522-8277 (Fax) Long Beach USCG REC Long Beach 501 West Ocean Blvd, Suite 6200 Long Beach, CA 90802 (562) 495-1480 (562) 435-1050 (Fax) Boston USCG REC Boston 455 Commercial Street Boston, MA 02109-1045 (617) 223-3040 (617) 223-3034 (Fax) Houston USCG REC Houston 8876 Gulf Freeway, Suite 200 Houston, TX 77017-6595 (713) 948-3350 (713) 948-3360 (Fax) RECHoustonINFO@uscg.mil RECHoustonEXAM@uscg.mil Memphis USCG REC Memphis 200 Jefferson Avenue, Suite 1302 Memphis, TN 38103-2300 (901) 544-3297 (866) 777-2784 (Toll Free) (901) 544-3372 (Fax) Charleston USCG REC Charleston 196 Tradd Street Charleston, SC 29401-1800 (843) 720-3250 (800) 826-1511 (Toll Free) (843) 720-3259 (Fax) Juneau USCG REC Juneau 2760 Sherwood Lane, Suite 2A Juneau, AK 99801-8545 (907) 463-2458 (907) 463-2445 (Fax) D17-PF-MSOJunREC@uscg.mil Miami USCG REC Miami Claude Pepper Federal Building 51 S.W. 1 st Avenue, 6 th Floor Miami, FL 33130-1608 (305) 536-6548/6549/6874 (800) 982-9374 (Toll Free) (800) 536-4304 (Fax) Getting Started Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links About List of RECs (A-M)...

8. New Orleans USCG REC New Orleans 4250 Highway 22, Suite F Mandeville, LA 70471 (985) 624-5700 (985) 624-5757 (Fax) San Francisco Bay USCG REC San Francisco Bay Oakland Federal Bldg, North Tower 1301 Clay Street, Room 180N Oakland, CA 94612-5200 (510) 637-1124 (510) 637-1126 (Fax) D11-PF- RECSFBay@D11.USCG.mil Toledo USCG REC Toledo 420 Madison Ave, Suite 700 Toledo, OH 43604 (419) 418-6010 (419) 259-7558 (Fax) New York USCG REC New York Battery Park Building 1 South Street New York, NY 10004-1466 (212) 668-7492 (212) 668-6394 (Fax) San Juan (Monitoring Unit) USCG REC San Juan 5 Calle La Puntilla San Juan, PR 00901 (787) 729-2376 (787) 729-2364 (Fax) National Maritime Center Detachment 150 East Burr Blvd, Top Floor Kearneysville, WV 25430 (304) 728-9100 (304) 728-7373 / 7332 (Fax) Puget Sound (Seattle) USCG REC Seattle Jackson Federal Building 915 Second Ave, Room 194 Seattle, WA 98174-1067 (206) 220-7327 (206) 220-7329 (Fax) Portland USCG REC Portland 6767 North Basin Avenue Portland, OR 97217-3992 (503) 240-9346 (503) 240-9345 (Fax) St. Louis USCG REC St. Louis 1222 Spruce Street, Suite 8.104E St. Louis, MO 63103-2835 (314) 539-3091 (314) 539-2659 (Fax) Getting Starting Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links About List of RECs (N-Z)...

9. Getting Started Forms & ReferenceNumber ApplicationCG-719B (Rev 03/04) PhysicalCG-719K (Rev 03/04) Fitness Cert. for Entry Level RatingsCG-719K/E (Rev 03/04) Drug TestCG-719P (Rev 03/04) Acceptable IDMLD-FM-REC-105 (03) MID Scanner Image FormFM-REC-102 (01) Credit Card AuthorizationMLD-FM-REC-100 (01) Drug PolicyNMC GD 03-04 Drug Test InstructionsFM-REC-101 (01) Physical StandardsNVIC 02-98 Sample Statement of ConvictionsN/A Mariner SurveyFM-REC-08 (02) Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links About Forms and Reference...

10. Getting Started Web LinkDescription http://www.uscg.mil/stcw/home.htmUSCG Licensing Website http://www.gpoaccess.gov/uscode/index.htmlUSCA Online http://www.gpoaccess.gov/cfr/index.htmlCFR Online http://www.uscg.mil/hq/g-m/nmc/pubs/msm/vol3.htmMarine Safety Manual (MSM), Vol III http://www.uscg.mil/hq/g-m/nvic/index90.htmNVICs http://www.uscg.mil/STCW/mmic-policy.htmNMC Policy & Guidance http://www.uscg.mil/hq/g-m/nmc/web/NMCs Website http://www.uscg.mil/STCW/mmic-appcourses.htmApproved Courses http://workplace.samhsa.gov/DrugTesting/Level_1_Pag es/CertifiedLabs.aspx SAMHSA Drug Lab List www.uscg.mil/hq/g-m/moa/dapip.htmDrug Service Agents https://www.pay.gov/paygovPay User Fees Online Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links About Web Links...

11. Getting Started This Wizard was designed for mariners and licensing professionals as an interactive step-by-step instructional tool for entry-level MMD credentials. Entry-Level MMD Wizard, Version 1.1 (09/13/2007). Entry-Level MMD Wizard can be burned on CDs and downloaded via the world wide web. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Getting Started Sub-Menu Instructions Disclaimer Overview References Where to Apply List of RECs (A-M) List of RECs (N-Z) Forms & Reference Web Links AboutAbout...

12. Application Incomplete and inaccurate information reported on the application will cause significant delays. False statements are grounds for denial of the application as well as criminal prosecution & financial penalty. An approved application is valid for 12 months. All transactions require an original application. Use the sub-menu link to view or print the application and other documents. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample StatementGeneral...

13. This section contains important personal data. Fill in each block, or write N/A for not applicable. Application By law, the next of kin information is required. When your credential is issued by mail, the address in this section is used. Please make sure it is accurate and report changes immediately. If you are under 18, check here & provide a notarized statement of parental or guardian consent. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Section I...

14. Application Place check marks for an Original Merchant Mariners Document (MMD). In the applying for box, write or type Entry- Level MMD. Write or type N/A in the Current or Previous License or MMD section. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Section II... Entry-Level MMD. N/A

15. Application Conviction means found guilty (felony or misdemeanor) by judgment or by plea and includes cases of deferred adjudication (no contest, adjudication withheld, etc.) OR where the court required you to attend classes, make contribution of time or money, receive treatment, submit to any manner of probation or supervision, or forgo appeal of a trial court finding. Expunged convictions must be reported unless the expungement was based upon a showing that the courts earlier conviction was in error. Page 1 of 3 Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Section III (1 of 3)...

16. Application Attach a statement for all areas marked yes. On January 1, 2000, I was arrested for DUI. On February 5, 2000, I plead guilty to DUI in League City, TX. My license was suspended for 6 months, I paid a $2,000 fine, and I attended a defensive driving course. On June 16, 2000, I completed all court requirements and my DL was reinstated. I apologize for my actions and request favorable consideration on my application. I no longer drink and driveOn January 1, 2000, I was arrested for DUI. On February 5, 2000, I plead guilty to DUI in League City, TX. My license was suspended for 6 months, I paid a $2,000 fine, and I attended a defensive driving course. On June 16, 2000, I completed all court requirements and my DL was reinstated. I apologize for my actions and request favorable consideration on my application. I no longer drink and drive At a minimum, the statement must include, when, where & what happened. The statement must be signed and dated. Page 2 of 3 Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Section III (2 of 3)...

17. Application The 7 questions in this section start with Have you ever… Therefore, regardless of how long ago a conviction occurred, it must be reported each time an application is submitted. Answer each question by placing a check mark in the appropriate box. You must attach a statement of explanation for all areas marked yes. Page 3 of 3 Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Section III (3 of 3)... When you sign & date the application, you are certifying that the information is true and correct. False statements are grounds for denial as well as criminal & financial penalty… Sign Here (Mandatory)Date

18. Application Section IV is for original license applicants only and does not apply to entry-level MMDs. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Section IV...

19. Application Read the National Driver Registry (NDR) consent authorization carefully. Sign and date to authorize the NDR search. Your consent authorization is mandatory. The Mariners Tracking System is optional. If you want to participate, you must sign and date these boxes. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Section V... Sign Here (Mandatory)Date Sign Here (Optional)Date

20. Application Read the Certification carefully. Sign and date certifying that the information is true and correct. The oath is required, but must be witnessed by a Coast Guard Official. Please leave this blank until you make application in-person. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Section VI... Sign Here (Mandatory)Date

21. Application Sections VII through IX are for U. S. Coast Guard use only. Do not fill out these boxes. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Application Sub-Menu General Section I Section II Section III Section IV Section V Section VI Sections VII through IX View / Print Application Form View / Print Sample Statement Sections VII through IX...

22. Fees You can pay by check, money order, credit card, debit card, and some RECs accept cash. Use the sub-menu link to view or print the credit or debit card authorization form. You can pay on-line at https://www.pay.gov/paygov. Print your receipt and include it with your application. https://www.pay.gov/paygov Make checks and money orders payable to the U. S. Coast Guard. Include your SSN in the memo area. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Fees Sub-Menu General Fee Chart Credit Card Authorization FormGeneral...

23. TransactionAmount Evaluation Fee for Original Entry Level Rating MMD $95.00 Issuance Fee for Original Entry Level Rating MMD $45.00 Total Fees Due: $140.00 Fees It is highly recommended that you pay both the evaluation fee and the issuance fee when you make application. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Fees Sub-Menu General Fee Chart Credit Card Authorization Form Fee Chart...

24. Citizenship and Nationality U.S. Citizens: Original proof of citizenship is required. Nationality of Aliens: Original proof of nationality is required. Aliens must also provide evidence from the U.S. Citizenship and Immigration Services that he/she is lawfully admitted to the U.S. for permanent residence. Evidence may be in the form of an alien registration receipt card issued by the U.S. Citizenship and Immigration Services bearing the certification that the alien was admitted to the U.S. as an immigrant, or a declaration of intention to become a citizen of the U.S. issued by a naturalization court. Use the sub-menu link to view the acceptable identification and citizenship documents. Make sure you read the foot notes at the bottom of the document. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Citizenship & Nationality Sub-Menu Requirements Acceptable Citizenship / IDRequirements...

25. Identity Applicants shall present acceptable proof of identity. Use the sub-menu link to view the acceptable identification and citizenship documents. Make sure you read the foot notes at the bottom of the document. Original social security card (SSC) is required for all applicants. Proof of identity shall consist of two current forms of identification, one of which shall contain a photo of the applicant. Proof of citizenship or nationality may be acceptable as one of the ID documents. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Identity Sub-Menu Requirements Acceptable Citizenship / IDRequirements...

26. Fingerprints Fingerprints are required, and they must be taken by REC personnel. Fingerprints from other agencies are no longer accepted. Please be aware, the Safety & Security background checks require fingerprints. Therefore, without your fingerprints, your application will be delayed. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Fingerprints Sub-Menu RequirementsRequirements...

27. Passport Photos 2 passport photos are required for entry-level MMDs. You must also sign the Mariner Identification System Scanner Image Capture Form and submit it with your application. Sign in the middle of the box without touching the lines. Use the sub-menu link to view or print the Mariner Identification System Scanner Image Capture Form. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Passport Photos Sub-Menu General View / Print Camera FormGeneral...

28. Certification of Fitness All entry-level MMD transactions require certification of fitness. Incomplete, inaccurate, and/or missing information will cause significant delays. Prior to leaving your doctors office, take a few minutes to review your certification of fitness for completeness. The certification of fitness must be dated within 1 year of the application date. Use the sub-menu link to view or print the certification of fitness form or NVIC 02-98. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98General...

29. Certification of Fitness This presentation focuses on the Merchant Marine Certification of Fitness for Entry Level Ratings, CG- 719K/E. The Merchant Mariner Physical Examination Report, CG-719K may also be used to satisfy the requirements, but is much more detailed. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98Instructions...

30. Certification of Fitness These blocks are self explanatory, however they must be complete. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98 Section I... SMITH, JOSEPH, WILLIAMXXX-XX-XXXX

31. Certification of Fitness These blocks are self explanatory, however they must be complete. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98 Section II... 5 10GREEN 165BROWN TATOO ON LEFT UPPER ARM

32. Certification of Fitness This section requires your full attention. Prior to leaving your doctors office, ensure that all the blocks have been filled out. Entries must be specific and legible. The next few slides break this section down for easier understanding. Page 1 of 3 Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98 Section III (1 of 3)...

33. Certification of Fitness The list of requirements. Applicant does not have the physical strength, agility, and flexibility, not competent, OR needing further review are considered disqualifying. Page 2 of 3 If the applicant can perform all the items listed and is considered competent, the following blocks must be marked with an X. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98 Section III (2 of 3)...

34. Certification of Fitness Page 3 of 3 Name, license, telephone, and address of physician are required. The certification of fitness must be signed and dated by your doctor. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98 Section III (3 of 3)... Physician Signs Here (Mandatory)Date

35. Certification of Fitness You must sign and date the certification of fitness certifying the information is complete and true. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98 Section IV... Mariner Signs Here (Mandatory)Date

36. Certification of Fitness This section contains a detailed description of the requirements, but nothing is required to be filled out or signed. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98 Section V...

37. Certification of Fitness The below listed medical conditions may need further review. If supporting documentation is requested by the NMC or REC, these checklists may be helpful. Cardiac Conditions Diabetes General Conditions (Not Addressed Above) Hearing Physical Handicaps Psychotropic Drugs Vision Waivers are considered on a case by case basis. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Certification of Fitness Sub-Menu General Instructions Section I Section II Section III Section IV Section V Medical Waivers View / Print Cert. Of Fitness Form View / Print NVIC 02-98 Medical Waivers...

38. Drug Test A drug test is required for all original entry-level rating MMD transactions. Only a DOT 5 panel test via a SAMHSA lab will be accepted. There are 3 options available to satisfy the drug testing requirements. Use the sub-menu link to view or print the periodic drug test form, NMC GD 03-04 for additional instructions. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Drug Test Sub-Menu General Option 1 (Periodic Testing) Option 2 (Random Testing) Option 3 (Pre-Employment Testing) Periodic Drug Test Form NMC GD 03-04 Additional Drug Test InstructionsGeneral...

39. Drug Test A USCG drug testing conducted within the past six months in accordance with the procedures established in 49 CFR, part 40, and the USCG. Make sure that the testing laboratory is on the SAMHSA laboratory list which can be obtained at http://workplace.samhsa.gov/DrugTesting/Level_1_Pages/ CertifiedLabs.aspx. http://workplace.samhsa.gov/DrugTesting/Level_1_Pages/ CertifiedLabs.aspx A list of service agents that can assist in meeting these requirements can be obtained at www.uscg.mil/hq/g-m/moa/dapip.htm. www.uscg.mil/hq/g-m/moa/dapip.htm Use the sub-menu link to view or print the periodic drug test form. Make sure the drug testing Custody and Control Form (CCF) has the word Federal in the form header. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Drug Test Sub-Menu General Option 1 (Periodic Testing) Option 2 (Random Testing) Option 3 (Pre-Employment Testing) Periodic Drug Test Form NMC GD 03-04 Additional Drug Test Instructions Option 1 (Periodic Testing)...

40. Drug Test An original dated letter on marine employer stationary or, for active duty military members, an original dated letter from your command on command letterhead attesting to participation in a random drug testing program. Example (From Marine Employer): Applicants Name / SSN has been subject to a random drug testing program meeting the criteria of Title 46 CFR 16.230 for at least 60 days during the previous 185 days and has not failed nor refused to participate in a chemical test for dangerous drugs. Example (Active Duty Military/Military Sealift Command/NOAA/Army Corps of Engineers): Applicants Name / SSN has been subject to a random drug testing program and has never refused to participate in or failed a chemical test for dangerous drugs. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Drug Test Sub-Menu General Option 1 (Periodic Testing) Option 2 (Random Testing) Option 3 (Pre-Employment Testing) Periodic Drug Test Form NMC GD 03-04 Additional Drug Test Instructions Option 2 (Random Testing)...

41. Drug Test An original dated letter on marine employer stationary signed by a company official, stating that you have passed a pre-employment chemical test for dangerous drugs within the past six months. Example: Applicants Name / SSN passed a chemical test for dangerous drugs, required under Title 46 CFR 16.210 within the previous six months of the date of this letter with no subsequent positive drug test results during the remainder of the six month period. The letter must also include: Name & Address of SAMHSA lab. Name & Address of the DOT qualified MRO. MRO Organization. Registration Number. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Drug Test Sub-Menu General Option 1 (Periodic Testing) Option 2 (Random Testing) Option 3 (Pre-Employment Testing) Periodic Drug Test Form NMC GD 03-04 Additional Drug Test Instructions Option 3 (Pre-Employment Testing)...

42. Checklist Page 1 of 4 Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Checklist Sub-Menu Checklist View / Print Checklist Checklist (1 of 4)... USCG Credential Issued Complete & Accurate Application Proper User Fees Original Proof of Citizenship or Nationality 2 Passport Photos & Camera Set-up Form Complete & Accurate Certification of Fitness Acceptable (negative) Drug Test Original Proof of Identity & SSN Safety & Security Background Clearance Fingerprinted by REC Personnel Return to Applicant

43. Checklist Application: Sect I: Ensure your mailing address is correct. Sect II: Write Entry-level MMD in the applying for box. Sect III: Read the definition of conviction & answer the questions honestly. Sect III: Write a statement for all yes answers (when, where & what). Sect III: Sign & Date attesting that your answers are truthful. Sect V: Sign and Date the NDR consent. Sect VI: Sign and Date certifying the application is true and correct. Fees: Include $140.00 with your application. You can pay by check; money order, credit/debit card, pay.gov, & some RECs accept cash. Page 2 of 4 Sect I: Verify that every block is filled out, or write N/A. Sect I: Next of kin name, address and relationship is required by law. Sect III: Provide court documentation for recent convictions (5 years). Use the sub-menu link to print the checklist. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Checklist Sub-Menu Checklist View / Print Checklist Checklist (2 of 4)...

44. Checklist Identity: Two current forms of identification are required, one of which shall contain a photo of the applicant. Fingerprints: Fingerprints are required, and they must be taken by REC personnel. Page 3 of 4 Original social security card is required for all applicants. Citizenship & Nationality: For U.S. Citizens: Original proof of citizenship required. For Aliens: Original proof of nationality & evidence of lawful admittance to U.S. for permanent residence required. Sign the camera form & include it with your package. Two passport photos required. Passport Photos: Use the sub-menu link to print the checklist. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Checklist Sub-Menu Checklist View / Print Checklist Checklist (3 of 4)...

45. Checklist Page 4 of 4 Drug Test: Periodic: MRO signed the document. Periodic: Document is original; photocopies are unacceptable. Random & Pre-employment: Original company letter meets requirements. Delivery of Application Package: Bring your completed application and associated documentation to a REC in-person. Include a completed checklist with your application package. Certification of Fitness: Verify that every block is filled out properly. Section III: Ensure all the physician contact information is filled out, and ensure that your physician signed and dated the form. Section IV: Sign and date, certifying the information is true. Use the sub-menu link to print the checklist. Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Checklist Sub-Menu Checklist View / Print Checklist Checklist (4 of 4)...

46. The End Use the navigation links on the main menu to review information as needed. The USCG is committed to providing you with excellent service. Please help us improve our processes by commenting on the service you received. Your feedback will be used to guide our efforts in the future. Click here to view or print the Survey Form. Survey Form Main Menu Getting Started Application Fees Citizenship and Nationality Identity Fingerprints Passport Photos Certification of Fitness Drug Test Checklist Review / Program Survey...