Certificate of Discharge to Merchant Mariner

OMB 1625-0012

Needed for establishing evidence of sea service aboard U.S. flagged merchant vessels for merchant mariners to upgrade their credentials, establish proof of eligibility for union and other benefits, and in litigation where vessel service is an issue.

The latest form for Certificate of Discharge to Merchant Mariner expires 2021-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CG-718A (REV. 05/1 Certificate of Discharge to Merchant Mariners Form
PTA, USCG - CG-718A Certificate of Discharge, 20180530, PRIV Final.pdf Supplementary Document
CFR-2012-title46-vol1-sec14-301.pdf Supplementary Document
1625-0012_30-Day FR Notice_83 FR 23698_20180522.docx Supplementary Document
1625-0012_60-Day FR Notice_83 FR 9010_20180302.docx Supplementary Document
USCODE-2011-title46-subtitleII-partG-chap103-sec10311.pdf Supplementary Document
1625-0012_SS_r0_2018.docx Supporting Statement A
Certificate of Discharge to Merchant Mariners Form

201805-1625-004 Approved without change	Extension without change of a currently approved collection	2018-05-31
201502-1625-001 Approved without change	Reinstatement with change of a previously approved collection	2015-03-24
201205-1625-005 Approved without change	Revision of a currently approved collection	2012-06-29
200907-1625-009 Approved without change	Revision of a currently approved collection	2010-03-31
200612-1625-007 Approved without change	Revision of a currently approved collection	2007-01-30
200308-1625-007 Approved without change	Reinstatement without change of a previously approved collection	2003-08-18
200303-1625-014 Approved without change	Extension without change of a currently approved collection	2003-03-01