Forms and Checklists

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These forms and examples provide all the information, letters and form filings which are submitted to the USCG in application for each license.

Print the appropriate check lists for the transaction desired FIRST. It will tell you the exact forms you need to download in order to complete the application process. ALL requirements listed on the Check Lists must be sent as ONE COMPLETE PACKET to a U.S. Coast Guard Regional Examination Center for evaluation. The Maritime Institute will be glad to check your application packet once it is complete and organized in the order on the Check List.

Courses, Prices, and Registration
Current Schedule (PDF)
Price List (PDF)
Registration Form (PDF)
School Catalog (PDF)

Packet Check Lists
Original Lice nse Check List(PDF)
Upgrade to 100 GT Check List (PDF)
Upgrade to 200-1600 GT Check List (PDF)
License Renewal Check List (PDF)

Basic Requirements
Description of Basic Licensing Requirements (PDF)
Basic_Requirements 200-1600GT Master/Mate (PDF)

Physical Examination and Drug Screening Information
USCG Periodic Drug Test Form (PDF)
Physical Exam- Merchant Mariner Credential
Please Note: If you have your physical exam after Jan 1, 2010 make sure to use the "New" form.

Sea Service Worksheet and Military Records
U.S. Coast Guard Sea Service Worksheet (PDF)
Military Service Records Form SF-180 Front Back

Sample Letters
Sample Reference Letter (PDF)
Sample Sea Service Letter, Multiple Vessels/One Employer (PDF)
Company Sea Time Letter (PDF)

USCG Application & Fees
USCG Application (PDF)
USCG Testing and Licensing Fees (PDF)
NEW: CG-719B Application Form (PDF-fillable Adobe format)
NEW: Merchant Mariner Oath

Download Adobe Acrobat Reader
For PDF files (Portable Document Files) you will need Adobe Acrobat Reader, which may already be installed on your computer either as a browser plug-in or as a separate application. If it is notinstalled, or if you want to upgrade, Reader (Version 9.0) can be downloaded free from Adobe Systems Inc. The following link to their site will lead you through selecting and installing the correct version for your operating system.

Maritime Institute, Inc.
If you can't find what you need or to ask a question of your own:
Call 619-225-1783; Toll Free: 888-262-8020
Or by email:

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