Vessels and Aircraft

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Entry - Level MMD W i z a r d
U. S. Coast Guard
Mariner Licensing Documentation
Entry-Level MMD Wizard was designed to assist
mariners and licensing professionals with making
application for an Entry Level Merchant Mariners
Document (MMD).
This Wizard does not assist with the issuance or
renewal of the Transportation Worker
Identification Credential (TWIC).
The Transportation Security Administration (TSA)
is the responsible agency for the issuance and
renewal of the TWIC. Please access
www.tsa.gov/twic for the latest info regarding
the TWIC.
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Getting Started
Instructions...
Simply click to advance through the slide
presentation, or
You can also use the menus to navigate, similar
to web page navigation. Click on the topic you
want to display or review.
Sub menus will appear when necessary.
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Getting Started
Disclaimer...
Applicable law supersedes all information
contained herein
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Getting Started
Overview...
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Getting Started
References...

• 46 United States Code Annotated (U.S.C.A.),
  Title 46Shipping.
• Code of Federal Regulations (CFR), Title 46,
  Parts 1 to 40Shipping.
• Marine Safety Manual (MSM), Volume III, Marine
  Industry Personnel, COMDTINST M16000.8 (Series).
• Applicable Navigation and Vessel Inspection
  Circulars (NVICs).
• Applicable USCG Policy Letters Guidance
  Documents.

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Getting Started
Where to Apply...
You may apply in person at any Regional
Examination Center (REC).
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Getting Started
List of RECs (A-M)...
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Getting Starting
List of RECs (N-Z)...
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Getting Started
Forms and Reference...
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Getting Started
Web Links...
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Getting Started
About...
Entry-Level MMD Wizard, Version 1.1 (09/13/2007).
This Wizard was designed for mariners and
licensing professionals as an interactive
step-by-step instructional tool for entry-level
MMD credentials.
Entry-Level MMD Wizard can be burned on CDs and
downloaded via the world wide web.
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Application
General...
All transactions require an original application.
An approved application is valid for 12 months.
Incomplete and inaccurate information reported on
the application will cause significant delays.
False statements are grounds for denial of the
application as well as criminal prosecution
financial penalty.
Use the sub-menu link to view or print the
application and other documents.
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Application
Section I...
This section contains important personal data.
Fill in each block, or write N/A for not
applicable.
When your credential is issued by mail, the
address in this section is used. Please make
sure it is accurate and report changes
immediately.
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By law, the next of kin information is required.
If you are under 18, check here provide a
notarized statement of parental or guardian
consent.
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Application
Section II...
Place check marks for an Original Merchant
Mariners Document (MMD).

In the applying for box, write or type
Entry-Level MMD.
Entry-Level MMD.
Write or type N/A in the Current or Previous
License or MMD section.
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Application
Section III (1 of 3)...

Conviction means found guilty (felony or
misdemeanor) by judgment or by plea and includes
cases of deferred adjudication (no contest,
adjudication withheld, etc.) OR where the court
required you to attend classes, make contribution
of time or money, receive treatment, submit to
any manner of probation or supervision, or forgo
appeal of a trial court finding. Expunged
convictions must be reported unless the
expungement was based upon a showing that the
courts earlier conviction was in error.
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Application
Section III (2 of 3)...

Attach a statement for all areas marked yes.
At a minimum, the statement must include, when,
where what happened. The statement must be
signed and dated.
On January 1, 2000, I was arrested for DUI . On
February 5, 2000, I plead guilty to DUI in League
City, TX. My license was suspended for 6 months,
I paid a 2,000 fine, and I attended a defensive
driving course. On June 16, 2000, I completed
all court requirements and my DL was reinstated.
I apologize for my actions and request favorable
consideration on my application. I no longer
drink and drive
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Application
Section III (3 of 3)...
The 7 questions in this section start with Have
you ever Therefore, regardless of how long ago
a conviction occurred, it must be reported each
time an application is submitted.

Answer each question by placing a check mark in
the appropriate box.
You must attach a statement of explanation for
all areas marked yes.
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Application
Section IV...

Section IV is for original license applicants
only and does not apply to entry-level MMDs.
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Application
Section V...

Read the National Driver Registry (NDR) consent
authorization carefully.
Sign and date to authorize the NDR search. Your
consent authorization is mandatory.
Sign Here (Mandatory)
Date
Sign Here (Optional)
Date
The Mariners Tracking System is optional. If
you want to participate, you must sign and date
these boxes.
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Application
Section VI...

Read the Certification carefully.
Sign and date certifying that the information is
true and correct.
Sign Here (Mandatory)
Date
The oath is required, but must be witnessed by a
Coast Guard Official. Please leave this blank
until you make application in-person.
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Application
Sections VII through IX...

Sections VII through IX are for U. S. Coast Guard
use only. Do not fill out these boxes.
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Fees
General...

You can pay by check, money order, credit card,
debit card, and some RECs accept cash.
Make checks and money orders payable to the U. S.
Coast Guard. Include your SSN in the memo area.
You can pay on-line at https//www.pay.gov/paygov.
Print your receipt and include it with your
application.
Use the sub-menu link to view or print the credit
or debit card authorization form.
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Fees
Fee Chart...
It is highly recommended that you pay both the
evaluation fee and the issuance fee when you make
application.
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Citizenship and Nationality
Requirements...
U.S. Citizens Original proof of citizenship is
required.
Nationality of Aliens Original proof of
nationality is required. Aliens must also
provide evidence from the U.S. Citizenship and
Immigration Services that he/she is lawfully
admitted to the U.S. for permanent residence.
Evidence may be in the form of an alien
registration receipt card issued by the U.S.
Citizenship and Immigration Services bearing the
certification that the alien was admitted to the
U.S. as an immigrant, or a declaration of
intention to become a citizen of the U.S. issued
by a naturalization court.
Use the sub-menu link to view the acceptable
identification and citizenship documents. Make
sure you read the foot notes at the bottom of the
document.
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Identity
Requirements...
Applicants shall present acceptable proof of
identity.
Proof of identity shall consist of two current
forms of identification, one of which shall
contain a photo of the applicant. Proof of
citizenship or nationality may be acceptable as
one of the ID documents.
Original social security card (SSC) is required
for all applicants.
Use the sub-menu link to view the acceptable
identification and citizenship documents. Make
sure you read the foot notes at the bottom of the
document.
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Fingerprints
Requirements...
Fingerprints are required, and they must be taken
by REC personnel. Fingerprints from other
agencies are no longer accepted.
Please be aware, the Safety Security background
checks require fingerprints. Therefore, without
your fingerprints, your application will be
delayed.
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Passport Photos
General...
2 passport photos are required for entry-level
MMDs.
You must also sign the Mariner Identification
System Scanner Image Capture Form and submit it
with your application. Sign in the middle of the
box without touching the lines.
Use the sub-menu link to view or print the
Mariner Identification System Scanner Image
Capture Form.
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Certification of Fitness
General...
All entry-level MMD transactions require
certification of fitness.
The certification of fitness must be dated within
1 year of the application date.
Incomplete, inaccurate, and/or missing
information will cause significant delays.
Prior to leaving your doctors office, take a few
minutes to review your certification of fitness
for completeness.
Use the sub-menu link to view or print the
certification of fitness form or NVIC 02-98.
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Certification of Fitness
Instructions...
This presentation focuses on the Merchant Marine
Certification of Fitness for Entry Level Ratings,
CG-719K/E.
The Merchant Mariner Physical Examination Report,
CG-719K may also be used to satisfy the
requirements, but is much more detailed.
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Certification of Fitness
Section I...
These blocks are self explanatory, however they
must be complete.
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Certification of Fitness
Section II...
These blocks are self explanatory, however they
must be complete.
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Certification of Fitness
Section III (1 of 3)...
This section requires your full attention.
Prior to leaving your doctors office, ensure
that all the blocks have been filled out.
Entries must be specific and legible.
The next few slides break this section down for
easier understanding.
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Certification of Fitness
Section III (2 of 3)...
The list of requirements.
If the applicant can perform all the items listed
and is considered competent, the following blocks
must be marked with an X.
Applicant does not have the physical strength,
agility, and flexibility, not competent, OR
needing further review are considered
disqualifying.
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Certification of Fitness
Section III (3 of 3)...
Name, license, telephone, and address of
physician are required.
The certification of fitness must be signed and
dated by your doctor.
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Certification of Fitness
Section IV...
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You must sign and date the certification of
fitness certifying the information is complete
and true.
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Certification of Fitness
Section V...
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This section contains a detailed description of
the requirements, but nothing is required to be
filled out or signed.
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Certification of Fitness
Medical Waivers...
Waivers are considered on a case by case basis.
The below listed medical conditions may need
further review. If supporting documentation is
requested by the NMC or REC, these checklists may
be helpful.
Cardiac Conditions
Diabetes
Hearing
Physical Handicaps
Psychotropic Drugs
Vision
General Conditions (Not Addressed Above)
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Drug Test
General...
A drug test is required for all original
entry-level rating MMD transactions.
Only a DOT 5 panel test via a SAMHSA lab will be
accepted.
There are 3 options available to satisfy the drug
testing requirements.
Use the sub-menu link to view or print the
periodic drug test form, NMC GD 03-04 for
additional instructions.
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Drug Test
Option 1 (Periodic Testing)...
A USCG drug testing conducted within the past six
months in accordance with the procedures
established in 49 CFR, part 40, and the USCG.
A list of service agents that can assist in
meeting these requirements can be obtained at
www.uscg.mil/hq/g-m/moa/dapip.htm.
Make sure that the testing laboratory is on the
SAMHSA laboratory list which can be obtained at
http//workplace.samhsa.gov/DrugTesting/Level_1_Pa
ges/CertifiedLabs.aspx.
Make sure the drug testing Custody and Control
Form (CCF) has the word Federal in the form
header.
Use the sub-menu link to view or print the
periodic drug test form.
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Drug Test
Option 2 (Random Testing)...
An original dated letter on marine employer
stationary or, for active duty military members,
an original dated letter from your command on
command letterhead attesting to participation in
a random drug testing program.
Example (From Marine Employer) Applicants Name
/ SSN has been subject to a random drug testing
program meeting the criteria of Title 46 CFR
16.230 for at least 60 days during the previous
185 days and has not failed nor refused to
participate in a chemical test for dangerous
drugs.
Example (Active Duty Military/Military Sealift
Command/NOAA/Army Corps of Engineers) Applicants
Name / SSN has been subject to a random drug
testing program and has never refused to
participate in or failed a chemical test for
dangerous drugs.
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Drug Test
Option 3 (Pre-Employment Testing)...
An original dated letter on marine employer
stationary signed by a company official, stating
that you have passed a pre-employment chemical
test for dangerous drugs within the past six
months.
Example Applicants Name / SSN passed a chemical
test for dangerous drugs, required under Title 46
CFR 16.210 within the previous six months of the
date of this letter with no subsequent positive
drug test results during the remainder of the six
month period. The letter must also include Name
Address of SAMHSA lab. Name Address of the
DOT qualified MRO. MRO Organization. Registration
Number.
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Checklist
Checklist (1 of 4)...
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Checklist
Checklist (2 of 4)...
Application

• Sect I Verify that every block is filled out,
  or write N/A.

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• Sect I Ensure your mailing address is correct.

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• Sect I Next of kin name, address and
  relationship is required by law.

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• Sect II Write Entry-level MMD in the applying
  for box.

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• Sect III Read the definition of conviction
  answer the questions honestly.

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• Sect III Write a statement for all yes
  answers (when, where what).

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• Sect III Provide court documentation for recent
  convictions (5 years).

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• Sect III Sign Date attesting that your
  answers are truthful.

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• Sect V Sign and Date the NDR consent.

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• Sect VI Sign and Date certifying the
  application is true and correct.

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Fees

• Include 140.00 with your application. You can
  pay by check money order, credit/debit card,
  pay.gov, some RECs accept cash.

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Use the sub-menu link to print the checklist.
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Checklist
Checklist (3 of 4)...
Citizenship Nationality

• For U.S. Citizens Original proof of citizenship
  required.

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• For Aliens Original proof of nationality
  evidence of lawful admittance to U.S. for
  permanent residence required.

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Identity

• Two current forms of identification are
  required, one of which shall contain a photo of
  the applicant.

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• Original social security card is required for
  all applicants.

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Fingerprints

• Fingerprints are required, and they must be
  taken by REC personnel.

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Passport Photos

• Two passport photos required.

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• Sign the camera form include it with your
  package.

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Use the sub-menu link to print the checklist.
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Checklist
Checklist (4 of 4)...
Certification of Fitness

• Verify that every block is filled out properly.

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• Section III Ensure all the physician contact
  information is filled out, and ensure that your
  physician signed and dated the form.

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• Section IV Sign and date, certifying the
  information is true.

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Drug Test

• Periodic MRO signed the document.

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• Periodic Document is original photocopies are
  unacceptable.

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• Random Pre-employment Original company letter
  meets requirements.

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Delivery of Application Package

• Bring your completed application and associated
  documentation to a REC in-person.

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• Include a completed checklist with your
  application package.

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Use the sub-menu link to print the checklist.
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The End
Review / Program Survey...
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review information as needed.
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