MSC Forms

Common forms and paperwork for MSC mariners

Find the forms you need for leave requests, medical documentation, training, Coast Guard credentials, and more. Click any form to open it in a new tab.

Showing 15 of 15 forms
Leave

Leave Chit

Standard leave request form for requesting annual leave, sick leave, or other time off. Submit to your department head for approval.

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Leave

LICWO Instructions

Leave in Conjunction with Orders - Instructions for taking leave when you have PCS or TAD orders. Explains how to coordinate leave with travel.

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Leave

Application to Accept Donated Leave

Request to receive donated leave from another employee. Used for medical emergencies or other qualifying situations when you've exhausted your own leave.

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Leave

Request to Donate Leave Form

Donate your annual leave to a coworker in need. Allows you to transfer leave hours to an approved leave recipient.

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Leave

FMLA Application

Family and Medical Leave Act application. Request up to 12 weeks of unpaid, job-protected leave for family or medical reasons.

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Medical

Medical Summary Form - NFFD Paperwork

Not Fit For Duty medical documentation. Required when seeking medical clearance or documenting health conditions affecting duty status.

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Medical

MSC SQ - Medical Questionnaire

MSC Sea Qualification medical questionnaire. Part of the periodic medical screening required to maintain sea duty qualification.

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Coast Guard

719K - Coast Guard Physical

USCG Form 719K for merchant mariner physical examination. Required for initial MMC issuance and renewals.

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Coast Guard

719B - Coast Guard MMC Renewal

USCG Form 719B for Merchant Mariner Credential renewal. Use this when renewing your MMC before expiration.

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Training

Training Request Form

Request approval for professional development, certifications, or required training courses. Submit to your supervisor for routing.

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Training

S&Q Form

Skills and Qualifications form. Document your professional qualifications, certifications, and special skills for your personnel record.

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Benefits

Boot Reimbursement Form

Request reimbursement for safety footwear purchases. Include receipt and ensure boots meet required safety standards.

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Administrative

Change of Address or Emergency Contact

Update your home address, mailing address, or emergency contact information. Keep your personnel record current.

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Benefits

Designation of Beneficiary

Designate or update beneficiaries for life insurance and other benefits. Important to keep current after life changes.

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Administrative

Resignation Letter

Template for submitting your resignation from MSC. Follow proper procedures and provide adequate notice period.

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Need a form that's not listed?

This collection includes the most commonly used forms for MSC mariners. If you need a specific form that's not here, check the official MSC intranet or contact your HR representative. You can also submit a request to have it added to this page.