How to Fill Out TWIC Requirements Sample Statement

TWIC Requirements Sample Statement at a glance

What it is: The TWIC Requirements Sample Statement from the National Maritime Center is for your Merchant Mariner Credential (MMC) application.

Where and when to file: Submit this statement or its equivalent with your Merchant Mariner Credential (MMC) application.

You use it if you have previously held or applied for a Transportation Worker Identity Credential (TWIC) and are claiming exemption from the requirement to hold a valid TWIC under Coast Guard Policy Letter 11-15.

A filled-in TWIC Requirements Sample Statement example: a mariner claims TWIC exemption

TWIC Requirements Sample Statement example filled out, example: a mariner claims TWIC exemption
Jane Ann Sample, a mariner, fills out the TWIC statement. She previously held a TWIC and claims exemption under Coast Guard Policy Letter 11-15. The picture shows the filled form, and its names and figures are sample values.

How to fill out TWIC Requirements Sample Statement, box by box

Date, name and Mariner Reference Number

TWIC Requirements Sample Statement example filled out, date, name and Mariner Reference Number

Enter the Date, your Name and your Mariner Reference Number.

Certification and signature

TWIC Requirements Sample Statement example filled out, certification and signature

Sign under Signature to certify that you do not require a TWIC and that you understand that a name-based safety and suitability check could significantly delay the processing of your Merchant Mariner Credential Application.

Common questions about TWIC Requirements Sample Statement

Where do I file it?

Submit this statement or its equivalent with your Merchant Mariner Credential (MMC) application.

Sources

[1] TWIC Requirements Sample Statement (MCP-FM-NMC5-132), National Maritime Center, U.S. Coast Guard (the Official source link on this page).

Twic Requirements Sample Statement Form PDF Details

The Transportation Worker Identification Credential (TWIC) plays a critical role in ensuring the security of the nation's maritime facilities and vessels. Workers who need access to secure areas of ports, vessels, and facility areas are required to have a TWIC to show that they meet the eligibility criteria set forth by the Transportation Security Administration (TSA). A crucial step in obtaining a TWIC is completing the TWIC Requirements Sample Statement form, a document that collects necessary information about the applicant, including personal identification details, eligibility status, and legal attestations regarding past criminal history and immigration status. This form serves as a preliminary assessment tool, helping the TSA to quickly identify individuals who may not meet the stringent requirements for access to secure maritime environments. Completing this form accurately is essential, as any discrepancies or inaccuracies can lead to delays or denial of the TWIC application. Therefore, understanding the major aspects of this form, including what information is required and how it needs to be presented, is vital for individuals seeking access to restricted areas in maritime settings.

QuestionAnswer
Form NameTwic Requirements Sample Statement Form
Form Length1 page
Fillable?Yes
Fillable fields4
Avg. time to fill out15 sec
Other namesnational center twic, national twic requirements make, twic requirements statement search, georgia twic card application