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U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-6100 Rev. 04-09 Modified Screening For Overseas Assignment and/or Sea Duty Health Screening This form is subject to the Privacy Act Statement of 1974 A.
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01
Obtain the CG-6100 form from the appropriate authority or website.
02
Start by filling out your personal information at the top of the form, including your name, address, and contact details.
03
Provide the required details regarding the vessel or service for which you are applying.
04
Complete any additional sections as required, such as documentation or verification details.
05
Review the form for accuracy and completeness before submission.
06
Submit the completed form according to the instructions provided, either online or by mail.

Who needs cg-6100?

01
Individuals or organizations applying for a specific service or permit related to maritime activities.
02
Boat owners needing to register their vessel or update information with the Coast Guard.
03
Any person or entity seeking to comply with U.S. Coast Guard regulatory requirements.
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CG-6100 is a form used by the U.S. Coast Guard for reporting certain types of maritime incidents and accidents.
Any individual or organization involved in a maritime incident that results in damage or injury is required to file CG-6100.
To fill out CG-6100, provide accurate details about the incident, including date, location, parties involved, and description of the event, following the guidelines in the instructions provided with the form.
The purpose of CG-6100 is to collect data on maritime incidents to improve safety, investigate causes, and prevent future occurrences.
The information that must be reported on CG-6100 includes the date and time of the incident, location details, descriptions of the vessel(s) involved, contact information for the parties, and a narrative of the incident.
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