RENEWAL
LICENSE AND QUALIFIED MMD
Attached are all the forms and information you will need to apply for a renewal of your Merchant
Mariner License (either deck or engineer), Radio Officer, Certificate of Registry, and/or Merchant
Mariner Document (MMD) with qualified ratings.
REV. 3/2004
This information package has been designed to assist you in the process of applying for merchant
mariner credentials and may not answer all of your questions. More comprehensive information may
be obtained by visiting http://www.uscg.mil/stcw/index.htm or contacting your local REC.
MLD-SP-REC-10 (04)
INSERT LOCAL REC INFO SHEET HERE
(NOT INTENDED FOR ELECTRONIC USE)
If you obtained this information package from the website, you must print the following forms
from http://www.uscg.mil/stcw/index.htm to complete the package:
F Application for License as an Officer, Staff Officer, or Operator and for Merchant Mariner’s
Document (CG-719B)
F Merchant Mariner Physical Examination Report (CG-719K) or Merchant Marine Certification for
Entry Level Ratings (CG-719K/E)
F DOT/USCG Periodic Drug Testing Form (CG-719P) or alternate evidence
F Small Vessel Sea Service Form (CG-719S) or other proof of sea service
F Camera Set-Up Form (MMD only)
REV. 3/2004
F Authorization for Credit Card Transactions (only if paying by credit card)
MLD-SP-REC-10 (04)
CHECKLIST FOR LICENSE OR MMD RENEWAL
F Submission of Application: The backlog of applications submitted to each REC varies from week to
week. As such, the processing time for completion of your application also varies. To ensure
uninterrupted employment, please be proactive and send your package in to the REC 8-10 weeks
prior to expiration or employment dates. Applicants with past criminal convictions or those with
medical conditions that may require further Coast Guard review are advised to submit their package
14-18 weeks early. You will be required to physically visit the REC at least once during this
application process.
F Proof of Identity: To obtain