0.3 Credentialing: MMC Application, TWIC, Physical, Drug Test & CPR

Key Takeaways

  • A TWIC from the TSA is required for every first-time MMC and should be started early; it is a security card, not a mariner license
  • Core forms: CG-719B is the application, CG-719K is the medical certificate, CG-719P records the drug test, and CG-719C is the conviction statement
  • The CG-719K physical certifies vision (generally correctable to 20/40 each eye), color perception, and hearing, and is valid 5 years for a national endorsement
  • A negative DOT/USCG five-panel drug test is required; marijuana is disqualifying regardless of state law
  • CPR and First Aid must be current (generally within 12 months) and taken in person, not online, before submitting to the National Maritime Center
Last updated: July 2026

From Sea Time to a Credential in Hand

Meeting the age and sea-service tests only makes you eligible. To actually receive the MMC you assemble a package of identity, medical, drug-testing, safety-training, and application documents and submit it to the National Maritime Center (NMC). Missing or expired items are the leading reason a file is bounced back "Awaiting Information," so treat this as a checklist, not a story. Build in lead time: several pieces — the TWIC, the physical, and CPR/First Aid — take weeks to obtain and each has its own expiration clock.

Step 1 — TWIC First

Before anything else, obtain a Transportation Worker Identification Credential (TWIC) from the Transportation Security Administration (TSA). TWIC requires an in-person enrollment, fingerprinting, and a security threat assessment, and it is required for every first-time MMC. Because it can take a few weeks to arrive, start it early. Remember: a TWIC is not a mariner license — it is a federal security card the MMC application relies on. You need both the TWIC and the MMC. A TWIC carries its own fee and is valid for five years, on roughly the same cycle as the credential.

Step 2 — The MMC Application Forms

The application runs on a small family of Coast Guard forms whose similar numbers cause endless confusion. Learn which number does what:

FormPurpose
CG-719BApplication for Merchant Mariner Credential — the master application
CG-719CConviction Statement — disclosure of any criminal convictions
CG-719KMerchant Mariner Medical Certificate — the physical-exam form
CG-719PRecord of Drug Testing — documents a negative chemical test
CG-719SSmall Vessel Sea Service — your qualifying sea time (prior section)

A frequent exam and paperwork trap: CG-719B is the application, not the physical. The physical is the CG-719K. The application also authorizes a National Driver Register check and a Coast Guard review of your criminal and safety history, which is why the CG-719C conviction statement travels with it.

Step 3 — The Physical (CG-719K)

A licensed physician, physician assistant, or nurse practitioner completes the CG-719K, certifying that you meet the Coast Guard's medical standards: vision generally correctable to at least 20/40 in each eye, adequate color perception (you must distinguish the colors used in aids to navigation and running lights), and satisfactory hearing, with no disqualifying condition. The completed form is typically emailed to the Coast Guard's medical evaluation office for review. For a national endorsement like the OUPV, the resulting medical certificate is valid for five years, matching the credential's life.

Step 4 — The Drug Test

You must show a negative result on a DOT/USCG five-panel chemical test screening for marijuana, cocaine, opiates, phencyclidine (PCP), and amphetamines. The result is captured on the CG-719P, or you may instead demonstrate that you are enrolled in a random drug-testing program that satisfies the requirement. A crucial trap: marijuana is disqualifying regardless of state legalization — the standard is federal, and a positive result derails the application.

Step 5 — CPR and First Aid

You must hold current CPR and First Aid certificates, generally completed within the past 12 months. The Coast Guard accepts American Red Cross cards or a USCG-approved equivalent, but the course must be taken in persononline-only CPR/First Aid is not accepted. This is a classic last-minute failure point for an otherwise complete file, so verify the card's date before mailing.

Step 6 — Submit, Pay, and Get Your Approval to Test

Send the assembled package — application (CG-719B), TWIC evidence, sea service (CG-719S), medical certificate (CG-719K), negative drug result, and CPR/First Aid cards — to the NMC with the applicable user and examination fees. You will also attest under oath to the truth of the application; false statements are a federal offense. An evaluator reviews the file for completeness and, once you qualify, issues an Approval to Test — the green light to sit the OUPV examination, covered next.

A few logistics smooth the path:

  • Build in lead time. Between the TWIC, the physician appointment, an in-person CPR/First Aid class, and the NMC's own processing, the calendar — not the difficulty — is usually the bottleneck. Start the slow items first.
  • Fees come in parts. Expect separate evaluation, examination, and issuance fees on top of the TWIC and course costs; budget for all of them.
  • The credential arrives by mail. After you pass and the NMC issues the MMC, the physical credential book is mailed to you; you are not licensed to carry passengers until it is in hand.

If you test through a USCG-approved course (next section), the school administers the exam for you and forwards the results, but you still submit the same document package to the NMC for the credential itself.

Test Your Knowledge

Which Coast Guard form is the merchant mariner medical certificate (the physical)?

A
B
C
D
Test Your Knowledge

Which CPR/First Aid certification will the Coast Guard accept for an OUPV application?

A
B
C
D