The CG-719S form, issued by the Department of Homeland Security's U.S. Coast Guard, serves as an optional Small Vessel Sea Service Form for individuals seeking to document their service on vessels of less than 200 gross register tons. This form is a critical step for those aiming to obtain or renew credentials to operate such vessels, making accurate and honest completion imperative. For assistance or to ensure the form is filled out correctly, Click the button below.
The Small Vessel Sea Service Form, officially designated as CG-719S, is a critical document under the purview of the Department of Homeland Security and specifically managed by the U.S. Coast Guard, catering to individuals operating vessels of less than 200 Gross Register Tons. This optional form serves as a comprehensive record of one's experience and qualifications at sea, capturing detailed applicant information, the specific vessel(s) operated, and the nature of service provided. The form is meticulously structured, covering basic identification data, vessel details including dimensions and propulsion type, and a log of service days across various time periods and geographic locations. It also includes sections for official attestations by the vessel owner or operator, underscoring the seriousness of the information provided with warnings about penalties for false statements, aligned with Title 46 CFR and supported by 18 U.S.C. 1001 pertaining to fraud and penalties. The Privacy Notice at the end reinforces the legal basis for collecting this information, emphasizing its use in evaluating qualifications for the U.S. Merchant Mariner Credential (MMC), and outlines the implications of not providing the requested details. This form is a linchpin for ensuring that maritime professionals possess the requisite experience, facilitating a safer and more qualified merchant marine workforce.
DEPARTMENT OF HOMELAND SECURITY
OMB No. 1625-0040
U.S. Coast Guard
Exp. Date: 03/31/2021
SMALL VESSEL SEA SERVICE FORM (OPTIONAL CG-719S)
For Service on Vessels of Less Than 200 Gross Register Tons Only
Section I: Applicant Information (Note: Complete One Form Per Vessel)
Name Last
First
Middle
Reference Number (if applicable)
Social Security Number
Vessel Name
Official number(s) listed on the registration, certificate, or document
Length
Width (if known)
Depth (if known)
Vessel Gross Tons
Feet
Inches
Propulsion (Motor/Steam/Gas Turbine/Sail/Aux Sail)
Served As (Master/Mate/Operator/Deckhand/Engine etc.)
Name of Body or Bodies of Water Upon Which Vessel was Underway (Geographic Locations)
Section II: Record of Underway Service
In the block under the appropriate month, write in the number of days you served for that year (you can show more than one year)
January
February
March
April
Year
Days
May
June
July
August
September
October
November
December
Total number of days served on this vessel:
Average hours underway (per day)?
Average distance offshore:
Number of days served on Great Lakes:
Number of days served on waters shoreward of the boundary line as defined in 46 CFR Part 7:
Number of days served on waters seaward of the boundary line as defined in 46 CFR Part 7:
CG-719S (04/17)
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Section III: Signature and Verification - Applicant Read Before Signing!
•Owners of vessels may attest to their own experience and provide proof of ownership per 46 CFR 10.232.
•Those who do not own their own vessel must obtain letters or other evidence from licensed personnel or the owners of the vessels listed per 46 CFR 10.232.
I certify that I have served on the above vessel as stated. I am making this statement in order that I, the applicant, may obtain a credential to operate a vessel under the provisions of Title 46 CFR, as applicable. I understand that if I make any false or fraudulent statement in this certification of service, I may be subject to a fine or imprisonment of up to five (5) years or both (18 U.S.C. 1001).
Signature of Applicant
Date (MM/DD/YYYY)
x
Owner, Operator or Master Read Before Signing! I certify that the above individual has served on the above vessel as stated. I am making this statement in order that the applicant may obtain a credential to operate a vessel under the provisions of Title 46 CFR, as applicable. I understand that if I make any false or fraudulent statement in this certification of service, I may be subject to a fine or imprisonment of up to five (5) years or both (18 U.S.C. 1001).
Signature and Title of Person Attesting to Experience
Owner's, Operator's, or Master's Name
Last
Email Address (Optional)
Owner's, Operator's, or Master's address and phone number
Street Address
City
State Zip Code
Phone
PRIVACY NOTICE
Authority: 14 U.S.C. 632; 46 U.S.C. 2103, 7101, 7302, 7502, 46 C.F.R. 10.301
Purpose: The information is collected by the Coast Guard to determine whether an applicant meets the regulatory standards for issuance of a U.S. Merchant Mariner Credential (MMC). The Coast Guard evaluates an applicant's qualifications to determine compliance with the national and international requirements for issuance of the MMC, any endorsement within the MMC, and medical certificate.
Routine Uses: The information is used by authorized Coast Guard personnel who have a need for the record to determine whether an applicant is a safe and suitable person and qualifies for the MMC, any endorsement within the MMC, and medical certificate. In addition, the Coast Guard uses this information to maintain and update records of merchant mariner documentation transactions. The information will not be shared outside of DHS except in accordance with the provisions of DHS/USCG-030 Merchant Seamen's Records System of Records, 74 FR 30308 (June 25, 2009).
Disclosure: Furnishing this information (including your SSN) is voluntary; however, failure to furnish the requested information may result in the non-issuance of the MMC, any endorsement within the MMC, and medical certificate.
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The United States Coast Guard estimates that the average burden for this report is 15 minutes. You may submit any comments concerning the accuracy of this burden estimate or any suggestions for reducing the burden to: Chief, Office of Merchant Mariner Credentialing, 2703 Martin Luther King, Jr. Ave, S.E., STOP 7509, Washington, D.C., 20593-7509 or Office of Management and Budget, Paperwork Reduction Project (1625-0040), Washington, DC 20503.
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Filling out the CG-719S form, also known as the Small Vessel Sea Service Form, is a crucial step for individuals seeking credentialing for operating vessels under 200 Gross Register Tons. The form is used by the U.S. Coast Guard to assess an applicant's sea service experience on small vessels. Given its importance in the credentialing process, it's essential to fill out this form accurately and completely. Below are step-by-step instructions to guide you through this process:
After completing all sections of the CG-719S form, review it thoroughly to ensure all information is accurate and complete. Any missing or incorrect information can delay the credentialing process. Once finalized, submit the form as instructed by the U.S. Coast Guard or the relevant authority overseeing the credentialing process. Remember, this form is a critical component of your application for operating a vessel, and accuracy is paramount.
What is the CG-719S form used for?
The CG-719S form, also known as the Small Vessel Sea Service Form, is a document used by the U.S. Coast Guard to verify an applicant's sea service on vessels of less than 200 Gross Register Tons. It's designed to help individuals obtain or renew a credential to operate these smaller vessels under Title 46 CFR provisions.
Who needs to fill out the CG-719S form?
Any individual seeking to obtain, renew, or upgrade a Merchant Mariner Credential (MMC) for operating small vessels should fill out this form. It serves as proof of the required sea service experience on small vessels.
What information is required on the CG-719S form?
The form requires detailed information about the applicant, including full name, Social Security Number, and the vessel's particulars such as name, official number, dimensions, propulsion type, and the role served on board. It also requires a record of the applicant's sea service including the days served each month, average hours underway per day, and service areas.
Is it mandatory to complete the CG-719S form for all small vessel operators?
No, completing the CG-719S form is optional. However, it is a recommended way to document sea service in a format that is familiar to the U.S. Coast Guard, which can simplify the credentialing process.
How does one verify the sea service claimed on the CG-719S form?
Sea service verification can be provided by the vessel's owner, operator, or master who must certify the applicant's service. Applicants who are owners can attest to their own experience with proof of ownership. Non-owners must obtain verification from licensed personnel or the vessel's owner.
What happens if false information is provided on the CG-719S form?
Providing false information on the CG-719S form can lead to severe consequences, including fines or imprisonment of up to five years, as per 18 U.S.C. 1001. Accuracy and honesty in reporting are critically important.
Can the CG-719S form be submitted electronically?
The submission method may vary; it's advisable to check with the nearest Regional Examination Center (REC) or the National Maritime Center (NMC) for the most current guidance on form submission, including electronic options.
What is the expiration date of the CG-719S form?
The version of the CG-719S form provided has an expiration date of 03/31/2021. You should verify if the most current form is being used by checking with the U.S. Coast Guard or the National Maritime Center's official website
Where can one obtain a CG-719S form?
The CG-719S form can be downloaded from the U.S. Coast Guard's National Maritime Center website or picked up at a Regional Examination Center.
After completing the CG-719S form, what are the next steps?
Once the CG-719S form is completed, it should be submitted along with any other required documents to the National Maritime Center by mail, or to a Regional Examination Center in person. Follow specific instructions for documentation and ensure that the form is signed and dated correctly.
One of the first mistakes people often make when filling out the CG 719S form is inaccurate or incomplete entry of personal information in Section I. This includes errors in the applicant’s name, Social Security Number, and vessel details such as the name or official numbers. It's crucial that each piece of information matches official documents to avoid processing delays.
Another error occurs in the documentation of sea service. Applicants mistakenly report their service in vague terms or fail to provide the specific number of days served for each month in Section II. Precise and verifiable entries are essential, as they directly influence the qualification for a credential.
Failure to accurately calculate or estimate the average hours underway per day and the average distance offshore presents yet another common pitfall. These figures are vital for evaluating the nature and extent of an individual’s sea service experience.
Some applicants mistakenly omit details about the type of waters navigated during their service. The form requires distinguishing between service on the Great Lakes, waters shoreward of the boundary line, and waters seaward of the boundary line as defined in 46 CFR Part 7. This information is critical for determining the applicability of the experience towards certain credentials.
Proper endorsement of the form in Section III often gets overlooked. Owners of vessels can attest to their own experience but must provide proof of ownership. Non-owners need to secure letters or other evidence of their service from licensed personnel or vessel owners. Neglecting this step can result in the invalidation of the submitted sea service claim.
Lastly, applicants commonly miss the declaration of understanding towards the end of the form. It’s vital to acknowledge the legal implications of submitting false or fraudulent information. This declaration, requiring a signature, emphasizes the applicant's responsibility to provide truthful and accurate information, subject to legal penalties for misinformation.
When individuals submit the CG-719S Small Vessel Sea Service Form for documenting their service on boats of less than 200 Gross Register Tons, this form typically doesn't stand alone. It's part of a suite of documents required for various maritime credentials. The forms and documents often associated with the CG-719S play crucial roles in ensuring that applicants meet the complete range of qualifications for the credentials they seek.
While the CG-719S form is a vital component of the credentialing portfolio for mariners seeking credentials for small vessel operation, the additional forms and documents ensure a comprehensive evaluation of an individual's fitness for duty. Together, they contribute to maintaining high standards in maritime safety and professionalism.
The Merchant Mariner Credential (MMC) Application, Form CG-719B, shares similarities with the CG-719S in its fundamental purpose of evaluating qualifications for maritime operations. Like the CG-719S, it requires detailed personal information and sea service experience. However, the MMC Application is broader, applicable to a wider range of vessel sizes and types. Both forms serve as critical steps in attesting to an individual's readiness and legal eligibility to work in various capacities on the water.
The Transportation Worker Identification Credential (TWIC) application also parallels the CG-719S by requiring individuals to provide personal and professional details to meet security and safety standards within the maritime sector. Though the TWIC focuses more on security clearance, both documents are essential for professionals in the maritime industry, ensuring they meet federal regulations for operational duties.
Medical Certificate Application, Form CG-719K, is notably similar to the CG-719S in its requirement for individuals to demonstrate their fitness for duty. The CG-719K, however, concentrates specifically on health and physical abilities, contrasting with the CG-719S’s emphasis on documenting service time on small vessels. Both are indispensable in the comprehensive evaluation of a mariner's capability to safely perform at sea.
The Certificate of Discharge for Merchant Seaman, which documents a seafarer's service on a vessel, shares a clear functional similarity with the CG-719S. Both forms serve as official records of maritime service, but the Certificate of Discharge covers all vessel sizes and types, providing a historical account of an individual’s seafaring experience and conduct aboard.
Official Logbook entries, required by regulations for documenting various aspects of a voyage, resemble the CG-719S in their role of officially recording sea service. While the Official Logbook covers a broader range of information, including disciplinary actions and significant events during a voyage, the CG-719S specifically tracks an individual’s days and roles on small vessels.
The Sea Service Letter, often issued by a vessel’s operator or owner, similarly certifies an individual's service time, roles, and capacities aboard. Like the CG-719S, it is vital for verifying qualifications for certifications or credentials. However, the Sea Service Letter can vary in format and is not a standardized federal document.
The United States Passport Application, while not directly related to maritime service, requires detailed personal identification similar to the CG-719S. Both are government-issued documents that verify an individual’s identity and eligibility for certain privileges, be it international travel or maritime operation.
The Application for Replacement of Merchant Mariner's Document, License, or MMC (CG-719D) shares with the CG-719S the necessity of proving one’s identity and qualifications. The CG-719D specifically addresses the need for replacing critical maritime documents, underlining the importance of maintaining valid, up-to-date credentials in the maritime profession.
The Service Record Book used in the international maritime industry, akin to the CG-719S, records an individual’s service aboard ships. Although it caters primarily to an international audience, it plays a similar role in certifying sea time and experience, crucial for career advancement and regulatory compliance.
Finally, the Vessel Log Book, which details daily operations and occurrences aboard, shares with the CG-719S the purpose of officially documenting maritime activities. While the Vessel Log Book is more comprehensive, covering everything from navigation to weather conditions, the CG-719S specifically compiles an individual's service record on smaller vessels, contributing to the broader picture of maritime safety and competency.
When filling out the CG-719S form, it's crucial to pay attention to detail and provide accurate information. This form, used by the U.S. Coast Guard for documenting small vessel sea service, is an important step in obtaining the necessary credentials to operate a vessel. Below are several dos and don'ts to consider:
Understanding the CG-719S form, commonly referred to as the Small Vessel Sea Service Form, is crucial for those navigating the waters of maritime credentials and regulations. However, several misconceptions surround this form, often leading to confusion and errors in submission. Below are nine common misconceptions clarified to help in accurately navigating the application process.
Correct understanding and submission of the CG-719S form are paramount for mariners seeking credentials, especially for those operating small vessels. Addressing these misconceptions ensures clarity, compliance, and towards securing the necessary endorsements and credentials for maritime service.
Understanding the CG-719S form, an optional document for mariners servicing small vessels under 200 Gross Register Tons, is crucial for accurate record keeping and credentialing in the maritime industry. Here are key takeaways about filling out and using this form:
Proper completion and submission of the CG-719S form play a vital role in the credentialing process for mariners, aiding in the accurate and verified representation of their qualifications.
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