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How do I fill this out?
To fill out this form, gather all necessary personal information including your name and Social Security Number. Carefully read the instructions regarding sample collection and testing requirements. Sign the declaration at the end of the form to confirm your agreement.

How to fill out the USCG Periodic Drug Testing Form CG-719P?
1
Gather your personal information such as name and SSN.
2
Read the instructions regarding drug testing procedures.
3
Fill in the required sections completely and accurately.
4
Sign the declaration at the end of the form.
5
Submit the form as per the instructions provided.
Who needs the USCG Periodic Drug Testing Form CG-719P?
1
Mariners applying for a U.S. Merchant Mariner Credential.
2
Employers conducting random drug tests for employees.
3
Active duty military members undergoing periodic drug testing.
4
Applicants needing to demonstrate compliance with drug testing regulations.
5
Individuals who have been referred for drug testing as part of a rehabilitation program.
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What are the instructions for submitting this form?
To submit the USCG Periodic Drug Testing Form, you may send it via email to the designated contact, fax it to the provided number, or mail it to the Coast Guard office listed in the instructions. Ensure all required fields are filled accurately before submission. Check the specific submission guidelines for your program to ascertain the correct submission method.
What are the important dates for this form in 2024 and 2025?
Important dates for the USCG Periodic Drug Testing Form CG-719P include submission deadlines which vary by program participation. Always check for updates regarding regulations that may impact your compliance requirements. Keeping abreast of deadlines ensures you stay in good standing with the Coast Guard.

What is the purpose of this form?
The purpose of the USCG Periodic Drug Testing Form CG-719P is to document and certify compliance with the drug testing regulations set forth by the U.S. Coast Guard. This form is vital for applicants seeking to obtain or renew their Merchant Mariner Credential. It ensures that applicants meet the necessary safety and health standards required for maritime duties.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Applicant's full name including last, first, and middle name.
- 2. Social Security Number: Unique identification number for the applicant.
- 3. Specimen Collection: Details regarding the collection and analysis of the drug test specimen.
- 4. Medical Review Officer: Information about the reviewing official who assesses the test results.
- 5. Signature: Required signature of the applicant confirming the accuracy of the information.
What happens if I fail to submit this form?
Failure to submit the USCG Periodic Drug Testing Form may lead to delays in your maritime credential application process. It is crucial to comply with submission timelines to avoid jeopardizing your eligibility. Ensure that the form is submitted correctly and on time to prevent complications.
- Delay in Credential Processing: Not submitting the form may cause significant delays in processing your application.
- Ineligibility for Maritime Duties: Failure to comply with drug testing standards could result in losing eligibility to work in maritime roles.
- Potential Legal Issues: Non-compliance may lead to legal consequences under federal regulations.
How do I know when to use this form?

- 1. Drug Testing for Mariners: Essential for all mariners subject to drug testing under U.S. Coast Guard regulations.
- 2. Application for Merchant Mariner Credential: Used during the application process to demonstrate compliance with drug testing.
- 3. Follow-up for Positive Test Results: Required if there are complications following a drug test.
Frequently Asked Questions
How do I submit the USCG Periodic Drug Testing Form?
You can submit the form via email, fax, or mail according to the provided instructions.
Can I edit this PDF form?
Yes, you can easily edit the PDF form on PrintFriendly before downloading.
Is there a deadline for submitting this form?
It is recommended to submit this form as soon as possible to avoid delays in the processing of your application.
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You can edit the form on PrintFriendly to correct any mistakes before submitting.
How can I ensure my signature is valid?
You can sign the PDF using PrintFriendly's signature feature right on the document.
Can I share the completed form with others?
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What information do I need before filling out this form?
You need personal information such as your name, Social Security Number, and details of the drug testing process.
Is it necessary to use PrintFriendly to fill out this form?
While it is not necessary, using PrintFriendly makes it easier to edit and sign the document.
What happens if I fail to submit the form?
Failure to submit the form may result in delays or rejection of your application for a mariner credential.
How can I ensure the information I submit is accurate?
Double-check all filled information against your official documents before submission.
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