CG-719B Application Form – Fillable PDF for Merchant Mariner Credential

The CG-719B is the official Application for Merchant Mariner Credential used by the U.S. Coast Guard. Whether you’re applying for a new credential, an endorsement, or a renewal, this fillable PDF lets you complete the entire process online without printing or scanning.

What is the CG-719B Application Form?

The CG-719B collects personal data, vessel experience, safety qualifications, and security information required to issue a Merchant Mariner Credential (MMC). The form is mandated by Title 46 of the Code of Federal Regulations and must be submitted with supporting documents such as a TWIC card, medical certificate, and proof of citizenship.

Who Must Complete the CG-719B?

• U.S. citizens, permanent residents, or foreign nationals seeking a U.S. MMC.
• Applicants requesting any endorsement (e.g., OUPV, Master, Engineer).
• Mariners renewing an existing credential or adding a new endorsement.

Step‑by‑Step Guide to Fill the Form Online

Instead of downloading the PDF and opening a separate editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load automatically. Follow these steps:

1. Click Fill out this form and wait for the Formize interface to appear.
2. Enter your legal name, SSN (if applicable), date of birth, and citizenship status in Section I.
3. Provide your current address, phone number, and email address for official correspondence.
4. Complete the emergency‑contact section and specify the type of MMC or endorsement you need in Section II.
5. Answer safety‑suitability questions in Section III, including criminal history and TWIC status.
6. Sign electronically in Section IV and select the date.
7. Review the entire form for accuracy, then click Save & Download to store a copy on your device.

Common Mistakes to Avoid

• Leaving required fields blank: The form will not submit if any mandatory field is empty.
• Incorrect SSN format: Use the nine‑digit format (###‑##‑####) without spaces.
• Mismatched endorsement codes: Verify the exact abbreviation (e.g., "OUPV", "MIST") before typing.
• Out‑of‑date TWIC information: Ensure your TWIC card is current; an expired card will cause a denial.

Download, Save, and Submit Your Completed Form

Once you have filled and signed the CG‑719B, you can download the completed PDF directly from Formize. Print the form if you prefer a hard copy, or submit the electronic file through the U.S. Coast Guard’s credential portal. Keep a saved copy for your records.