Coast Guard (CG) Official Forms (Internet Releasable Only)

Washington, DC

Tips:

1.  If you see "Please wait..." when you try to open the form, click on the disc icon to save the form to a location of your choice.  Open the form from the saved location using Adobe Acrobat or Acrobat Pro.

2.  If you still see "Please wait..." after opening the form from the saved location, click on the "Enable All Features" button.

3.  ALWAYS download the form to a location of your choice.  Then open the form from that location.

4.  If you have any questions on forms, contact the Forms Management Office at: uscg.forms@uscg.mil.

Publication NumberTitleOrganizationPublication Date
CG-6010HRESPIRATORY SENSITIZER QUESTIONNAIRECG-11212/1/2018
CG-6010JGUEST CREW MEMBER HEALTH QUESTIONNAIRECG-11212/1/2018
CG-5353MONTHLY REPORT FOR NARCOTICS AND OTHER CONTROLLED DRUGSCG-11211/1/2020
CG-4920EVALUEE'S STATEMENT REGARDING THE FINDINGS OF THE MEDICAL BOARDcg-11214/1/2020
CG-6031WAIVER REQUEST FOR AUXILIARY HEALTH CARE PROVIDERS RESIDING GREATER THAN 50 MILES FROM AN ASSIGNED CLINIC/SICKBAYCG-11216/1/2019
CG-6032INFORMATION QUESTIONNAIRE FOR AUXILIARY HEALTH CARE PROVIDERSCG-11216/1/2019
CG-6034REQUIRED APPLICATION INFORMATION FOR AUXILIARY HEALTH CARE ACTIVITIESCG-11216/1/2019
CG-6100OVERSEAS ASSIGNMENT AND/OR SEA DUTY HEALTH SCREENINGCG-11218/1/2019
CG-6041VERIFICATION CONDITIONS AND RELEASE OF INFORMATIONCG-11216/1/2019
CG-6040ATTESTATIONCG-11216/1/2019
CG-4057CHRONOLOGICAL RECORD OF SERVICECG-11218/1/2019
CG-6010ACLINICAL APPRAISAL FORMCG-112112/1/2016
CG-6010EOCCUPATIONAL MEDICAL HISTORY AND EXAMINATIONCG-11211/1/2022
CG-5605DENTAL HEALTH QUESTIONNAIRECG11222/1/2025
CG-6000.1ACUTE EXPOSURE INFORMATION FORMCG-11226/1/2019
Page 7 of 37