Form CG-719S at a glance
What it is: The Small Vessel Sea Service Form (optional CG-719S) is a Department of Homeland Security, U.S. Coast Guard form for service on vessels of less than 200 gross register tons only.
Who signs: Sign on the Signature of Applicant line and enter the Date (MM/DD/YYYY); the Owner, Operator or Master signs on the Signature and Title of Person Attesting to Experience line and enters the Date (MM/DD/YYYY).
Owners of vessels may attest to their own experience and provide proof of ownership per 46 CFR 10.232.
Those who do not own their own vessel must obtain letters or other evidence from licensed personnel or the owners of the vessels listed per 46 CFR 10.232.
A filled-in Form CG-719S example: a deckhand records a season on one vessel
How to fill out Form CG-719S, box by box
Section I: Applicant Information
Under Section I: Applicant Information, enter your Name (Last, First, Middle), the Reference Number (if applicable) and the Social Security Number. Complete One Form Per Vessel.
Providing this information is voluntary (including your Social Security number (SSN)). However, failure to provide this information may result in the non-issuance of the MMC.
Vessel Name, Vessel Gross Tons, Served As and Propulsion
Enter the Vessel Name and the official number(s) listed on the registration, certificate, or document, then the Vessel Gross Tons and the Length in Feet and Inches. Enter Width (if known) and Depth (if known) in Feet and Inches.
Under Served As, write Master, Mate, Operator, Deckhand, Engine etc. Under Propulsion, write Motor, Steam, Gas Turbine, Sail or Aux Sail.
Bodies of water
Name the Body or Bodies of Water Upon Which Vessel was Underway (Geographic Locations).
Section II: Record of Underway Service
In Section II: Record of Underway Service, in the block under the appropriate month, write in the number of days you served for that year (you can show more than one year).
Totals for this vessel
Enter the total number of days served on this vessel and the number of days served on Great Lakes.
Enter the number of days served on waters shoreward of the boundary line as defined in 46 CFR Part 7, and the number of days served on waters seaward of the boundary line as defined in 46 CFR Part 7.
Enter the average hours underway (per day) and the average distance offshore.
Section III: Signature and Verification - Applicant
In Section III: Signature and Verification - Applicant, by signing you certify that you have served on the vessel as stated.
If you make any false or fraudulent statement in this certification of service, you may be subject to a fine or imprisonment of up to five (5) years or both (18 U.S.C. 1001).
Signing as the owner, operator or master
By signing, the Owner, Operator or Master certifies that the individual has served on the vessel as stated.
Enter the Owner's, Operator's, or Master's Name (Last, First, Middle) and address and phone number: Street Address, City, State, Zip Code, Phone and Email Address (Optional).
More rules for Form CG-719S
The purpose is to determine whether an applicant meets the regulatory standards for issuance of a U.S. Merchant Mariner Credential (MMC).
The United States Coast Guard estimates that the average burden for this report is 15 minutes.
Sources
[1] Form CG-719S (12/25), Small Vessel Sea Service Form, U.S. Coast Guard (the Official source link on this page).
