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-6010GRESPIRATOR CLEARANCE REQUESTCG-11212/1/2018
CG-6010HRESPIRATORY SENSITIZER QUESTIONNAIRECG-11212/1/2018
CG-6010JGUEST CREW MEMBER HEALTH QUESTIONNAIRECG-11212/1/2018
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-6240FOOD-BORNE ILLNESS QUESTIONNAIRECG-1129/1/2019
CG-6400US COAST GUARD STUDENT EXTERNSHIP PROGRAM COMPLIANCE FORMCG-1127/1/2014
CG-5145FOOD SERVICE ESTABLISMENT INSPECTION REPORT FORMCG-1124/1/2020
CG-5197OCCUPATIONAL HEALTH SURVEILANCE QUESTIONNAIRECG-1123/1/2020
CG-5100US COAST GUARD DECLARATION OF HEALTHCG-1129/1/2019
CG-5100-1COAST GUARD LASER CLASS 3B & 4 MEDICAL SURVEILLANCE FORMCG-1129/1/2019
Page 32 of 37