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Captain's Application Process: Disclosure Statement for Convictions (Form CG-719C)

When and How to Submit Form CG-719C

You can download and print Form CG-719C here

 

What is the CG-719C form? 

Form CG-719C discloses convictions from the applicant's history. Be truthful on these forms, and do not attempt to hide anything, as the Coast Guard will find out. 

 

Here is a quick video on court convictions

 

Do I need to submit this form if I have no history of convictions?  

If you have no history of convictions, you will not need to submit form CG-719C to the Coast Guard. 

 

Read over this article for more information.