Active List of Forms

Active List of Forms Form_Number OPR / Title Stock_Number Date U/D U/I Stock_Point

AF-227 CG-1333 3/1/2003 ADOBE

QUARTERS CONDITION INSPECTION REPORT

AF-228 CG-1333 5/1/1997 LOCAL REP

FURNISHINGS CUSTODY RECEIPT AND CONDITION REPORT

AF-538 CG-NAV-1 4/1/1974 ADOBE

PERSONAL CLOTHING & EQUIPMENT RECORD

AFTO-103 CG-41 12/1/1995 ADOBE

AIRCRAFT/MISSILE CONDITION REPORT

AFTO-110 CG-41 753000F024270 5/1/1977 CARD CD ELC

TECHNICAL ORDER DISTRIBUTION RECORD

AFTO-187 CG-41 7/1/1976 SH SH LOCAL REP

TODO/TECHNICAL ORDER PUBLICATION REQUIREMENT TABLE

AFTO-276 CG-41 6/1/1982 SHEET SH LOCAL REP

SPECIAL REQUISITION FOR AF TECHNICAL ORDER

AFTO-290 CG-41 9/1/2001 ADOBE

AEROSPACE VEHICLE DELIVERY RECEIPT (OLD FORM AFTO-290)

AFTO-43 CG-41 7/1/1976 SHEET SH LOCAL REP

REQUEST FOR USAF TECHNICAL ORDER/DISTRIBUTION CODE

AFTO-71A-2 CG-41 753001GF25590 10/1/1967 2PT SE SE ELC

SHOP/AIRCRAFT HISTORICAL RECORD OF BATTERY SERVICE

AFTO-781E CG-41 5/1/1973 ADOBE

ACCESSORY REPLACEMENT DOCUMENT

AFTO-781J CG-41 5/1/1973 ADOBE

AEROSPACE VEHICLE - ENGINE FLIGHT DOCUMENT

ANSC-7011 CG-BSX-1 3/1/2003 ADOBE

PERSONAL WATERCRAFT SAFETY CHECK

ANSC-7012 CG-BSX 6/1/2004 ADOBE

USCG AUXILIARY COURTESY MARINE EXAMINATION

ANSC-7046 CG-BSX 6/1/2004 ADOBE

MARINE DEALER VISITATION PROGRAM VISITATION RECORD

CA-1904 CG-1333 6/1/1988 SHEET SA LOCAL REP

MAINTENANCE FORM

CCLR-DOJ CG-0944 1/1/2000 ADOBE

CLAIMS COLLECTION LITIGATION REPORT (CCLR) -

CDC-73-2936 CG-112 0108LF4002501 9/1/1981 4PT SE SE NAVY

VENERAL DISEASE EPIDEMIOLOGICAL REPORT

Certificates CG-122 2/1/1990 SA

GOOD CONDUCT CERTIFICATE FOR RESERVE

As of: 11/1/2020

Form_Number

CG_16700

CG_5230B

CG_5370A

CG-1000

CG-1001

CG-1001A

CG-1001B

CG-1001C

CG-1002

CG-10029

CG-1037

CG-1037A

CG-1038

CG-1039

CG-1050

CG-1050A

CG-10550

CG-1120

CG-1120A

OPR / Title Stock_Number Date U/D U/I

G-IP 11/1/2017

NORTH AMERICAN ICE (NAIS) CUSTOMER SURVEY

CG-00 3/1/2012

ENTERPRISE ARCHITECHURE BOARD (EAB) PROJECT ASSESSMENT

CG-1333

SEX OFFENDER POLICY ACKNOWLEDGEMENT AND DISCLOSURE

CG-1331 12/1/2019

COAST GUARD URINALYSIS LEDGER

PSC-RPM-1 1/1/2018

CHANGE IN RESERVE COMPONENT CATEGORY (RCC)

CG-5R 4/1/2020

ELECTRONIC BASED DISTRIBUTED LEARNING (EBDL) COURSE APPROVAL REQUEST

CG-5R 4/1/2016

MONTHLY INCAPACITATION CLAIM FORM (MEMBER)

CG-PSC-RPM 4/1/2019

RESERVE INCAPACITATION BENEFITS (RIB) REQUEST

PSC-RPM-1 1/1/2020

RESERVE LATERAL / CHANGE IN RATE REQUEST

CG-BSX 6/1/1967 100 SHEETS HD

USCG AUXILARY CONFIRMATION ELECTION CERTIFICATE

PSC 2/1/2010

WTA (WITHHOLDING TAX ALLOWANCE) PAYMENT AND EMPLOYEE AGREEMENT FOR REPAYMENT

PSC 2/1/2010

RELOCATION INCOME TAX ALLOWANCE (RITA) CERTIFICATION

PSC 2/1/2010

US COAST GUARD CIVILIAN PCS ADVANCE REQUEST

PSC 2/1/2010

REAL ESTATE REIMBURSEMENT FOR THE SALE AND/OR PURCHASE OF A HOME

CG-122 10/1/2020

PAID PARENTAL LEAVE (PPL) REQUEST

CG-122 10/1/2020

AGREEMENT TO COMPLETE 12-WEEK WORK OBLIGATION

C3CEN (CT-R 769001GF90018 8/1/2017 10 DECALS PG

AN / PRC-152 WARNING LABEL

CGRC 2/1/2016

EVERYONE IS A RECRUITER CONTACT SHEET

CGRC

APPLY NOW/CHAT NOW

Stock_Point

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ANSC

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

SFLC

ONLINE

CG-11221 PSC 8/1/2010 ADOBE

RESERVE COMPONENT SURVIVOR BENEFIT PLAN (RCSBP) GUIDE AND FORM CG-11221

As of: 11/1/2020

Form_Number OPR / Title Stock_Number Date U/D U/I Stock_Point

CG-1130 CGRC ONLINE

APPLY NOW

CG-11410 CG-FAC 1/1/2018 ADOBE

MARINE TRANSPORTATION SYSTEM RECOVERY ESSENTIAL ELEMENTS OF INFORMATION

CG-11410A CG-FAC 1/1/2018 ADOBE

MARINE TRANSPORTATION SYSTEM RECOVERY FACILITY STATUS

CG-1144 CG-44 0102LF0128400 4/1/1978 100 SHEETS PD NAVY

SUPPORT AGREEMENT

CG-1227 9/1/2011 ADOBE

INTERMITTENT (WAE) EMPLOYEE PERFORMANCE EVALUATION

CG-1227A 9/1/2011 ADOBE

US COAST GUARD NONAPPROPRIATED EMPLOYEE DISCUSSION DOCUMENTATION SHEET

CG-1227B CG-CSC 10/1/2018 ADOBE

NONAPPROPRIATED FUND EMPLOYMENT APPLICATION

CG-12290 1/1/2014 ONLINE

AUXILIARY SAFETY SURVEY

CG-12352A CG-1212 6/1/2013 ADOBE

REQUEST FOR A DUAL COMPENSATION WAIVER

CG-12352B CG-1212 6/1/2013 ADOBE

NDAA REQUEST/CONDITION OF EMPLOYMENT

CG-12400 FORCECOM

ROTATIONAL OPPORTUNITY REQUEST

CG-12400A FORCECOM

ROTATIONAL ASSIGNMENTS PROGRAM FOR CIVILIANS (RAP-C) APPLICATION

CG-12400B FORCECOM

ROTATION EXTENSION REQUEST

CG-12400C FORCECOM

STATEMENT OF WORK EXPECTATIONS AND PERFORMANCE FEEDBACK

CG-1245 CG-124 CERTIFICAT AH

RETIREMENT RECOGNITION

CG-12500 CG-1212 5/1/2020 ADOBE

STUDENT LOAN REPAYMENT PROGRAM SERVICE AGREEMENT

CG-12500A CG-1212 5/1/2020 ADOBE

REQUEST FOR STUDENT LOAN REPAYMENT BENEFIT

CG-12500B CG-1212 4/1/2020 ADOBE

STUDENT LOAN REPAYMENT PROGRAM OUTSTANDING LOAN INFORMATION

CG-1258 NVDC 7/1/2019 ADOBE

APPLICATION FOR INITIAL ISSUE, EXCHANGE, OR REPLACEMENT OF CERTIFICATE OF DOCUMENTATION/REDOCUMENTATION

CG-1258A1 NVDC 8/1/2016 ADOBE

APPLICATION FOR INITIAL, EXCHANGE, OR REPLACEMENT OF CERTIFICATE OF DOCUMENTATION; REDOCUMENTATION SECTION

As of: 11/1/2020













BUILDER'S CERTIFICATION AND FIRST TRANSFER OF TITLE

CG-12630A CG-1212 9/1/2019 ADOBE

US COAST GUARD - STATEMENT OF RELEVANT PRIOR CIVILIAN WORK EXPERIENCE OR ACTIVE DUTY UNIFORMED SERVICE NOT

CG-12630B CG-1212 9/1/2019 ADOBE

U.S. COAST GUARD REQUEST FOR CREDITING PRIOR CIVILIAN WORK EXPERIENCE OR ACTIVE DUTY UNIFORMED SERVICE NOT O

CG-1270 NVDC 9/1/2001 SHEET AH NVDC

CERTIFICATE OF DOCUMENTATION

CG-12715 CG-1212 6/1/2013 ADOBE

USCG RETIREMENT ESTIMATE REQUEST

CG-12715A CG-1212 6/1/2013

USCG VOLUNTARY SEPARATION INCENTIVE PAYMENTS (VSIP) & VOLUNTARY EARLY RETIREMENT AUTHORITY (VERA) APPLICATIO

CG-12771 CG-124 1/1/2013 ADOBE

U. S. COAST GUARD ADMINISTRATIVE GRIEVANCE FORM


VESSEL RENEWAL NOTIFICATION APPLICATION FOR RENEWAL

CG-1280A NVDC 753001GF33060 3/1/1988 1000 CARDS BX ELC

VESSEL DOCUMENTATION RENEWAL DECAL FORM

CG-1280B NVDC 2/1/1988 SHEET SH COMPGEN

VESSEL DOCUMENTATION WARNING NOTICE LETTER

CG-1300 PSC-BOPS-C 12/1/2016 ADOBE

REPORT OF SUITABILITY FOR OVERSEAS ASSIGNMENT

CG-1300A PSC-BOPS-C 12/1/2016 ADOBE

DEBT TO INCOME RATIO CALCULATOR

CG-1300B PSC-BOPS-C 12/1/2016 ADOBE

ACTIVE DUTY DEPENDENTS OVERSEAS SCREENING

CG-1322 CG-CVC 753000F010980 12/1/1983 100 SHEETS BX ELC

CERTIFICATE OF MARKING

CG-1330 NVDC 5/1/2020 VDS

CERTIFICATE OF OWNERSHIP OF VESSEL

As of: 11/1/2020

Form_Number

CG-1330A

CG-1332

CG-1332A

CG-1340

CG-1356

CG-1408

CG-1410

CG-1410A

CG-1414

CG-1417

CG-1500

CG-1501

CG-1510-1

CG-1510-2

CG-1510-3

CG-1570

CG-1577A

CG-16170

CG-16170A

CG-16247

OPR / Title Stock_Number Date U/D U/I Stock_Point

NVDC 5/1/2020 VDS

CERTIFICATE OF OWNERSHIP OF VESSEL

CG-CVC 5/1/2020 ADOBE

GENERAL INDEX OR ABSTRACT OF TITLE

NVDC 5/1/2020 ADOBE

GENERAL INDEX OR ABSTRACT OF TITLE CONTINUATION SHEET

NVDC 7/1/2019 ADOBE

BILL OF SALE

NVDC 7/1/2019 ADOBE

BILL OF SALE BY GOVERNMENT ENTITY PURSUANT TO COURT ORDER OR ADMINISTRATIVE DEGREE OF FORFEITURE

CG-CVC 7/1/1967 SHEET SH G-PCV

LOAD LINE INSPECTION REPORT

MSC 5/1/1967 SHEET SH MSC

TONNAGE ADMEASUREMENT

MSC 5/1/1967 SHEET SH MSC

TONNAGE ADMEASUREMENT (FOR VESSELS NOT EXCEEDING 100 FT.)

CG-INV 11/1/1995 ADOBE

TONNAGE CERTIFICATE

MSC 753000F011160 3/1/1981 SHEET SH ELC

SUEZ CANAL SPECIAL TONNAGE CERTIFICATE

CG-132 6/1/2009 ADOBE

ADVANCED DEGREE COST SHARE AGREEMENT

FMPS NEW

PURCHASE CARD TRANSACTION WORKSHEET

CG-132 11/1/2007 LOCAL REP

RECORD OF PROFESSIONAL MILITARYEDUCATION (PME) PERFORMANCE & KNOWLEDGE REQUIEMENTS FOR E-2

FFC-514 10/1/2004 ADOBE

RECORD OF ENLISTED PROFESSIONAL MILITARY EDUCATION (E-PME) PERFORMANCE REQUIREMENTS (E3 - E9)

FC-514 10/1/2004 ADOBE

RECORD OF ENLISTED PROFESSIONAL MILITARY EDUCATION (E-PME) KNOWLEDGE REQUIREMENTS E3 - E9

PSC 8/1/2015 ADOBE

IDT COMPLETION SHEET

CG-41 753001GF32420 11/1/1990 100 TAGS HD ELC

UR TAG AR&SC ENGINEERING

CG-CVC-4 11/1/2016 ADOBE

POLAR SHIP CERTIFICATE


RECORD OF EQUIPMENT FOR COMPLIANCE WITH THE INTERNATIONAL CODE FOR SHIPS OPERATING IN POLAR WATERS

CG-MLE-2 7/1/2017 ADOBE

BOARDING OFFICER CERTIFICATE

As of: 11/1/2020


CG-16247A CG-MLE-2 7/1/2017 ADOBE

BOARDING TEAM MEMBER CERTIFICATE

CG-16247B CG-MLE-2 7/1/2017 ADOBE

BOARDING OFFICER CERTIFIED ASHORE CERTIFICATE

CG-16247C CG-MLE-2 5/1/2020 ADOBE

FIELD SOBRIETY TEST PERFORMANCE REPORT

CG-16247D CG-MLE-2 5/1/2020 ADOBE

FIELD SOBRIETY TEST PERFORMANCE REPORT - DRUG

CG-16247E CG-MLE-2 3/1/2020 ADOBE

TRACE DETECTION CERTIFICATION FORM

CG-16450 CG-CVC-4 8/1/2013 CERTIFICAT ADOBE

MARITIME LABOUR CERTIFICATE (STATEMENT OF VOLUNTARY COMPLIANCE)

CG-16450A CG-CVC-4 8/1/2013 CERTIFICAT ADOBE

INTERIM MARITIME LABOUR CERTIFICATE (STATEMENT OF VOLUNTARY COMPLIANCE)

CG-16450B CG-CVC-4 8/1/2013 CERTIFICAT ADOBE

DECLARATION OF MARITIME LABOUR COMPLIANCE - PART I�(STATEMENT OF VOLUNTARY COMPLIANCE)

CG-16450C CG-CVC-4 8/1/2013 CERTIFICAT ADOBE

UNITED STATES COAST GUARD MARITIME LABOUR CONVENTION, 2006 INSPECTION REPORT

CG-16475 CG-47 1/1/2017 ONLINE

INITIAL NWP WARRANT APPLICATION

CG-16475A CG-47 1/1/2017 ONLINE

NWP WARRANT RENEWAL APPLICATION

CG-16475B CG-47 1/1/2017 ONLINE

CHANGE OF WARRANT LEVEL APPLICATION

CG-16475C CG-47 1/1/2017 ADOBE

APPLICATION FOR ADMINISTRATIVE CHANGES TO EXISTING WARRANT

CG-16478 2/1/2020 ADOBE

INTERNATIONAL CERTIFICATE ON INVENTORY OF HAZARDOUS MATERIALS (STATEMENT OF VOLUNTARY COMPLIANCE)

CG-16487 CG-CVC-4 ADOBE

INTERNATIONAL CERTIFICAT ON INVENTORY OF HAZARDOUS MATERIALS (STATEMENT OF VOLUNTARY COMPLIANCE)

CG-1650 PSC 2/1/2020 ADOBE

CG AWARD RECOMMENDATION

CG-1650A PSC-MA 3/1/2016 ADOBE

U.S. COAST GUARD TRANSMITTAL OF AND/OR ENTITLEMENT TO AWARDS

CG-16616 CG-DOD 1/1/2020 ADOBE

USCG LEVEL I RADIATION DETECTION BOARDING/INSPECTION SHEET

CG-16616A CG-DOD 1/1/2020 ADOBE

USCG LEVEL II RADIATION DETECTION BOARDING/INSPECTION SHEET

CG-16722 CG-INV-1 8/1/2010 ELC

CHEMICAL TESTING PROGRAM COMPLIANCE AUDIT

As of: 11/1/2020


CG-16798 DIST5 11/1/2013 ONLINE

DISTRICT FIVE AUXILIARY SAFETY SURVEY

CG-1734 CG-1111 6/1/2019 ADOBE

SUICIDAL BEHAVIOR INCIDENT REPORT FORM

CG-1750 CG-1112 1/1/2020 ADOBE

CISM INTERVENTION REPORT

CG-1750.4 CG-111 7/1/2013 ADOBE

FAMILY CHECK-IN FORM FOR OMBUDSMEN

CG-1754.1 CG-1112 10/1/2011 ADOBE

APPLICATION FOR TRANSITIONAL COMPENSATION

CG-1754-1 CG-1112 9/1/2010

COAST GUARD CHILD DEVELOPMENT SERVICES REGISTRATION FORM

CG-1754-2 CG-1112 9/1/2010

COAST GUARD CHILD DEVELOPMENT SERVICES ACCIDENT/CHILD ABUSE NOTIFICATION

CG-1754-5 CG-1112 9/1/2010

COAST GUARD CHILD DEVELOPMENT SERVICES APPLICATION REQUIREMENTS FOR FAMILY CHILD CARE CERTIFICATION

CG-1754-6 CG-1112 9/1/2010

COAST GUARD CHILD DEVELOPMENT SERVICES FAMILY CHILDCARE ORIENTATION REQUIRMENTS

CG-1754-7 CG-1112 9/1/2010

COAST GUARD FAMILY CHILD CARE BUSINESS REQUEST FORM

CG-1754A CG-1112 3/1/2014 ADOBE

FAMILY ADVOCACY VICTIM REPORTING PREFERENCE STATEMENT

CG-1754B CG-1112 3/1/2014 ADOBE

FAMILY ADVOCACY PROGRAM QUESTIONAIRE

CG-1754C CG-1112 3/1/2014 ADOBE

COAST GUARD FAMILY ADVOCACY PROGRAM AUTHORIZATION TO RELEASE INFORMATION

CG-1754D CG-1112 3/1/2014 ADOBE

FAMILY ADVOCACY INFORMED CONSENT FAMILIES IN NEED OF SERVICE (FINS)

CG-1754E CG-1112 3/1/2014 ADOBE

COAST GUARD FAMILY ADVOCACY INCIDENT REPORT

CG-1754F CG-1112 3/1/2014 ADOBE

COAST GUARD FAMILY ADVOCACY PROGRAM INFORMATION/LIMITS OF CONFIDENTIALITY FORM

CG-1754G CG-1212 3/1/2015 ADOBE

INTERNSHIP PROGRAM PARTICIPANT AGREEMENT

CG-1754H CG-1212 3/1/2015 ADOBE

RECENT GRADUATES PROGRAM PARTICIPATION AGREEMENT

CG-1754J CG-1212 3/1/2015 ADOBE

PRESIDENTIAL MANAGEMENT FELLOWS PROGRAM PARTICIPANT AGREEMENT

CG-1754S CG-1112 4/1/2013 ADOBE

COAST GUARD SPECIAL NEEDS PROGRAM FAMILY SUPPORT SERVICE DECLINATION FORM

As of: 11/1/2020


CG-1754T CG-1

Authorization for Disclosure of Information

CG-1770 PSC-PSC-FS 7/1/2014 ADOBE

STATEMENT OF DISPOSITION OF REMAINS

CG-1775 CG-PSC 6/1/2013 ADOBE

AUTHORIZATION FOR DISCLOSURE OF INFORMATION: MILITARY PERSONNEL CASUALTY CASE

CG-1794 CG-111 9/1/2011 ADOBE

REIMBURSEMENT REGISTRATION FOR ADOPTION EXPENSES

CG-1850 CGPC-adm-1 6/1/2004 ADOBE

MEDICAL BOARD REPORT CHECKLIST

CG-1884 PSC 7/1/2013 ADOBE

APPLICATION FOR ANNUITY UNDER THE SURVIVOR BENEFIT PLAN (SBP), RESERVE COMPONENT SURVIVOR BENEFIT PLAN (RCSB

CG-2000 PSC 12/1/2019 ADOBE

PCS DEPARTING/SEPARATING WORKSHEET

CG-2001 PSC 8/1/2019 ADOBE

DEPARTING TDY OR PCS/TEMDUINS TO "A" SCHOOL WORKSHEET

CG-2002 PSC 2/1/2010 ADOBE

CG DIRECT ACCESS SYSTEM ASSIGNMENT DATA WORKSHEET

CG-2003 PSC 7/1/2019 ADOBE

PCS TRAVEL ENTITLEMENTS WORKSHEET

CG-2005 PSC 4/1/2019 ADOBE

PCS REPORTING WORKSHEET

CG-2010 PSC 7/1/2019 ADOBE

ADVANCES WORKSHEET

CG-2015 PSC 3/1/2020 ADOBE

PAY DELIVERY WORKSHEET

CG-2016 PSC 3/1/2015 ADOBE

REQUEST FOR DUPLICATE OR REPLACEMENT IRS FORM W-2

CG-2020 PPC 4/1/2019 ADOBE

DEPENDENCY WORKSHEEET

CG-2020A PSC 2/1/2010 ADOBE

SUPPORT STATEMENT

CG-2020B PSC 2/1/2010 ADOBE

STATEMENT OF SUPPOR FOR FULL-TIME STUDENT

CG-2020C PSC 4/1/2015 ADOBE

STATEMENT OF FORMER SPOUSE

CG-2020D PSC 9/1/2010 ADOBE

DESIGNATION OF BENEFICIARIES & RECORD OF EMERGENCY DATA

CG-2025 PSC 9/1/2017 ADOBE

BAH/HOUSING WORKSHEET

As of: 11/1/2020


CG-2025A CG-1332 2/1/2020 ADOBE

HOUSING ALLOWANCE PROTECTION WORKSHEET

CG-2025B PSC 2/1/2010 ADOBE

MEMBER-MARRIED-TO-MEMBER BAH WORKSHEET

CG-2026 CG-1332 6/1/2015 ADOBE

OCONUS EARLY RETURN OF DEPENDENTS (ERD)-REQUEST FOR TONO/LOA

CG-2030 PSC 4/1/2019 ADOBE

CAREER DEVELOPMENT WORKSHEET

CG-2035 PSC 3/1/2020 ADOBE

FAMILY SEPARATION ALLOWANCE WORKSHEET

CG-2036 PPC 4/1/2019 ADOBE

CAREER SEA PAY PREMIUM WORKSHEET

CG-2040 PSC 2/1/2010 ADOBE

ALLOTMENT WORKSHEET

CG-2045 PSC 4/1/2020 ADOBE

CAREER INTENTIONS WORKSHEET

CG-2046 PSC 2/1/2010 ADOBE

APPLICATION TO SELL SPECIAL LEAVE ACCRUAL (SLA)

CG-2050 PSC 3/1/2020 ADOBE

NONRECEIPT WORKSHEET


RESERVE RETIREMENT TRANSFER REQUEST

CG-2060 PSC 2/1/2010 ADOBE

BOND WORKSHEET FOR SERIES "EE" AND SERIES "I" BONDS

CG-2070 PSC 5/1/2013 ADOBE

TDY TRAVEL REQUEST WORKSHEET

CG-2071 CG-652 12/1/2013 ADOBE

SIPRNET WRITABLE MEDIA REQUEST

CG-2072 CG-652 6/1/2012 ADOBE

DOD PUBLIC KEY INFRASTRUCTURE (PKI) SIPRNET TOKEN HANDLING USER ACKNOWLEDGEMENT

CG-2073 CG-65 8/1/2016 SA ADOBE

DOD PUBLIC KEY INFRASTRUCTURE (PKI) TRUSTED AGENT RESPONSIBILITIES ACKNOWLEDGEMENT

CG-2075 PSC 6/1/2012 ADOBE

FAMILY SUBSISTENCE SUPPLEMENTAL ALLOWANCE (FSSA) APPLICATION

CG-216 CG-1331 12/1/2016 ADOBE

PETTY OFFICER APPOINTMENT CERTIFICATE

CG-2180 CG-6823 11/1/2019 ADOBE

SPECIAL USE INFORMATION TECHNOLOGY REQUEST FORM

CG-2180A CG-6823 11/1/2019 EXCEL

SPECIAL USE INFORMATION TECHNOLOGY REQUEST FORM

As of: 11/1/2020


CG-22 CG-41 5/1/2007 ADOBE

AERONAUTICAL PUBLICATION CHANGE RECOMMENDATION

CG-2426 PSC 2/1/2010 ADOBE

CAREER STATUS BONUS (CSB) ELECTION

CG-2519 PSC-BOPS-C 9/1/2019 ADOBE

LEAVE AUTHORIZATION

CG-2548 CG-CVC 753000F011330 4/1/1984 BOOK BK ELC

RECORD OF INSPECTIONS

CG-2554 CG-NAV-1 5/1/2018 ADOBE

PRIVATE AIDS TO NAVIGATION APPLICATION

CG-2576 CG-111 6/1/2004 ADOBE

CG DINING FACILITY OPERATING STATEMENT

CG-2580 G-OCS 753000F011410 9/1/1985 BOOK BK ELC

BOAT RECORD

CG-2580A CG-7312 9/1/2019 ADOBE

BOAT RECORD

CG-2581 CG-1111 6/1/2004 ADOBE

ISSUE/SALES SLIP

CG-2582 CG-43 2/1/2020 ADOBE

BOARD OF SURVEY

CG-2588 CG-643 4/1/2011 SHEET SH ADOBE

RADIO DIRECTION FINDER CALIBRATION CHART

CG-2596 G-OCS 2/1/2020 ADOBE

DEVIATION TABLE

CG-2596A G-OCS 8/1/1969 CARD CD LOCAL REP

DEVIATION CARD (SMALL BOAT)

CG-2614 CG-62 7/1/1971 ADOBE

COMMUNICATIONS SUMMARY

CG-2614A CG-62 9/1/2013 ADOBE

COMMUNICATIONS LOG

CG-2616G CG-452 4/1/2020 ADOBE

MACHINERY LOG

CG-2617 CG-43 6/1/1984 G-SEC

AC&I WORK PROGRESS REPORT

CG-2618 CG-43 1/2/1900 ELC

AC&I PROJECT PROPOSAL REPORT COVER SHEET

CG-2618A CG-43 1/2/1900 ELC

AC&I PROJECT PROPOSAL REPORT - SUMMARY OF ALTERNATIVES

CG-2618B CG-43 1/2/1900 ELC

AC&I PROJECT PROPOSAL REPORT - ALTERNATIVE DEVELOPMENT

As of: 11/1/2020


CG-2618C CG-43 1/2/1900 ELC

AC&I PROJECT PROPOSAL REPORT - ECONOMIC ANALYSIS OF ALTERNATIVES

CG-2618D CG-43 1/2/1900 LOCAL REP

MINOR AC&I PROJECT PROPOSAL REPORT - JUSTIFICATION OF NEED

CG-2633 CG-CVC-4 5/1/2014 ADOBE

APPLICATION FOR WAIVER & WAIVER ORDER

CG-2636 CG-113 6/1/2004 ADOBE

NOTICE OF VIOLATION

CG-2639 CG-INV 2/1/2020 ADOBE

COMPLAINT TEMPLATE FOR DRUG CASES

CG-2639A CG-INV 2/1/2020 SHEET SH ADOBE

ANSWER

CG-2639B G-MOA/G-CJ 2/1/2020 ADOBE

SUBPOENA

CG-2639D CG-00J 6/1/2004 ADOBE

REPORT OF HEARING

CG-2639E CG-INV 2/1/2020 ADOBE

VOLUNTARY SURRENDER AGREEMENT

CG-2639F CG-INV 2/1/2020 ADOBE

VOLUNTARY DEPOSIT AGREEMENT

CG-2639G CG-INV 2/1/2020 ADOBE

VOLUNTARY DEPOSIT AGREEMENT

CG-2639H CG-INV 8/1/1970 SHEET SH G-MOA

CERTIFICATION OF SHIPPING ARTICLES

CG-2639I CG-INV 2/1/2020 ADOBE

GOOD FAITH DEPOSIT

CG-2650 CG-BSX 1/1/1996 500 CARDS BX ANSC

USCG AUXILIARY MEMBERSHIP CARD

CG-2655 CG-62 753000F011680 3/1/1967 100 SHEETS HD ELC

USCG OFFICIAL MESSAGE

CG-2685 CG-PSA-2 753000F011690 1/1/2007 50 SHEETS SA ADOBE

APPLICATION FOR CG PORT SECURITY CARD

CG-2688 CG-84 753000F011720 3/1/1967 50 3 PT SE PD ELC

COLLECTION RECEIPT

CG-2692 CG-INV-1 7/1/2019 ADOBE

REPORT OF MARINE CASUALTY, COMMERCIAL DIVING CASUALTY, OR OCS-RELATED CASUALTY

CG-2692A CG-INV-1 7/1/2019 ADOBE

BARGE ADDENDUM

CG-2692B CG-INV-1 7/1/2019 ADOBE

REPORT OF MANDATORY CHEMICAL TESTING FOLLOWING A SERIOUS MARINE INCIDENT INVOLVING VESSELS IN COMMERCIAL SE

As of: 11/1/2020


CG-2692C CG-INV-1

PERSONNEL CASUALTY ADDENDUM

7/1/2019 ADOBE

CG-2692D CG-INV-1

INVOLVED PERSONS AND WITNESSES ADDENDUM

7/1/2019 ADOBE

CG-2730 CG-BSX

AUXILIARY - ENROLLMENT APPLICATION

6/1/1973 100 6PT SE HD ANSC

CG-2730PAS CG-BSX

PRIVACY ACT STATEMENT FOR FORM CG-2730

6/1/1973 SHEET SH ANSC

CG-2736 CG-BSX

VESSEL FACILITY INSPECTION AND OFFER FOR USE FORM

6/1/2004

CG-2736A CG-BSX

AUXILIARY - RADIO FACILITY INSPECTION REPORT AND OFFER USE FORM

6/1/2004 ADOBE

CG-2736B CG-BSX

AUXILIARY - AIRCRAFT FACILITY INSPECTION AND OFFER OF USE REPORT

6/1/2004 ADOBE

CG-2736C CG-BSX-12

PWC FACILITY INSPECTION AND OFFER FOR USE FORM

9/1/2000 ADOBE

CG-2737A CG-BSX

USCG AUXILIARY MEMBERSHIP CERTIFICATE

3/1/1967 100 SHEETS HD ANSC

CG-2738 CG-BSX

AUXILIARY - CHANGE OF OFFICERS REPORT

5/1/1982 4PT SE SE ANSC

CG-2738A CG-BSX

AUXILIARY - ANNUAL UNIT OFFICER REPORT


CG-2752A CG-CVC-1

REPORT OF EQUIPMENT FAILURE ON INSPECTED VESSEL

2/1/2020 ADOBE

CG-2786A CG-45

COMPARTMENT CHECK-OFF LIST (MASTER CHECK OFF LIST FILE)

3/1/1967 SH ELC

CG-2789 CG-NAV-1

QUARTERLY REPORT OF SHORT RANGE AIDS TO NAVIGATION

5/1/1988 SHEET SH LOCAL REP

CG-2817 CG-122

IDENTIFICATION CARD CG RECRUIT

2/1/1970 CARD CD G-WPM

CG-2818 CG-842

INVENTORY TAG

753000F012020 3/1/1967 100 TAGS HD ELC

CG-2832 CG-CVC-4

VESSEL INSPECTION RECORD

753000F012030 4/1/1969 CARD CD ELC

CG-2832A CG-CVC-2

LETTER OF COMPLIANCE

11/1/1988 SHEET SH CG-5432

CG-2836 CG-BSX

USCG AUXILIARY CERTIFICATE OF ADVANCEMENT


CG-2838 NMC

MERCHANT MARINERS ID CARD

753000F012050 9/1/2002 CARD CD SFLC

As of: 11/1/2020


CG-2838(T) NMC

MERCHANT MARINER'S TEMPORARY CERTIFICATE OF IDENTIFICATION/SERVICE

3/1/1982 100 SHEETS SH NMC

CG-2842 CGRC

NOTIFICATION OF REMOVAL OF ABSENTEE WANTED NOTICE

753000F012070 7/1/1978 CARD CD ELC

CG-2849 NMC 753000F012090

LICENSE TO MERCHANT MARINE OFFICER (ACCOUNTABLE FORM)

6/1/2001 PD MMLD

CG-2861 CG-65

REPORT OF RADIO INTERFERENCE

6/1/2004

CG-2861A CG-62 2/1/2020

REPORT OF VIOLATION OF RADIO REGULATIONS OR COMMUNICATIONS INSTRUCTIONS

ADOBE

CG-290 CG-41

AEROSPACE VEHICLE DELIVERY RECEIPT

9/1/2001 ADOBE

CG-2920 CG-452

CURRENT SHIP MAINTENANCE PROJECT

2/1/2020 ADOBE

CG-2926 CG-452

DRYDOCKING & UNDERWATER BODY INSPECTION WORKSHEET

2/1/2020 ADOBE

CG-2928 CG-45

FUEL AND WATER REPORT

752000F012250 2/1/1992 100 SHEETS PD ELC

CG-2929 CG-45

MACHINERY HISTORY CARD

753000F012260 2/1/1992 50 CARDS FY ELC

CG-2930 CG-452

ENGINEERS BELL BOOK

4/1/2020 ADOBE

CG-2936 CG-ENG-3 2/1/2020

MANUFACTURERS DATA REPORT BOILERS PRESSURE VESSELS OR NUCLEAR PRESSURE VESSELS

ADOBE

CG-2947B CG-2-CGIS

CGI DOCUMENT TRANSMITTAL SHEET

12/1/1994 ADOBE

CG-2957 CGRC

MONTHLY REPORT OF RECRUITING ACTIVITIES

753000F012340 8/1/1966 100 SHEETS HD ELC

CG-2962 CG-113

STANDARD SIGNALS FOR THE OPERATION OF LIFTING GEAR

753000F012360 6/1/1973 PLACARD EA ELC

CG-2985 CG-103

MORALE FUND FINANCIAL STATEMENT

8/1/2016 ADOBE

CG-2985A CG-103

OPERATING SUMMARY MWR ACTIVITIES

2/1/2020 ADOBE

CG-2985B CG-103

ANNUAL MWR SURVEY - MORALE FUND OPERATIONS

6/1/2004 ADOBE

CG-2987 NMC

LICENSE TO MERCHANT MARINE OFFICER RADIOTELEGRAPH OPERATOR

8/1/1967 100 SHEETS PD NMC

CG-2993 CGPC-opm 753000F012460

INTERVIEWERS APPRAISAL FOR OFFICER RECRUITING PROGRAMS

10/1/1975 100 SHEETS SH ELC

As of: 11/1/2020


CG-3019 PSC 2/1/2020 ADOBE

RECEIPT FOR CLOTHING AND SMALL STORES (MALES)


RECEIPT FOR CLOTHING AND SMALL STORES (FEMALES)

CG-3022 CG-452 4/1/2020 ADOBE

BOAT INSPECTION REPORT

CG-3029 CG-7211 3/1/2016 ADOBE

SMALL ARMS RANGE SHEET

CG-3029.1 FC-514 1/1/2011 ADOBE

SMALL ARMS PQS & JUDGMENTAL USE OF FORCE EVALUATION (JUFE) REPORT INSTRUCTIONS

CG-3029.2 1/1/2011 ADOBE

SMALL ARMS RECORD FIRING REPORT INSTRUCTIONS

CG-3029A CG-DOD 753001GF30940 5/1/1987 100 SHEETS HD ELC

INDIVIDUAL RECORD OF SMALL ARMS TRAINING

CG-303CG CGRC 3/1/1961 CERTIFICAT EA CGRC

CERTIFICATE IN LIEU OF LOST OR DESTROYED DISCHARGE

CG-3067 CG-84 753000F012710 5/1/1970 100 SHEETS HD ELC

ALLOTMENT CONTROL

CG-3079 CG-133 2/1/1980 SDA II APP

MILITARY PAYROLL MONEY LIST

CG-3089 FINCEN 2/1/2020 ADOBE

MISCELLANEOUS OBLIGATION

CG-3090 CG-84 6/1/2004 ADOBE

MISCELLANEOUS ACCRUED EXPENDITURE

CG-3095 CG-11 2/1/2020 ADOBE

DAILY SUMMARY OF RECEIPT TRANSACTIONS

CG-3096 CG-84 2/1/2020 ADOBE

CONSOLIDATED CG DINING FACILITY, OPERATING STATEMENT

CG-3097 CG-83 2/1/2020 ADOBE

DAILY SUMMARY OF EXPENDITURE TRANSACTIONS

CG-3103 CG-45 1/1/2014 ADOBE

INDUSTRIAL SERVICE ORDER FORM

CG-3114 CG-1111 2/1/2020 ADOBE

ADJUSTMENT FORM

CG-3115 CG-11 6/1/2004 ADOBE

CLASS LEDGER SHEET

CG-3116 CG-11 2/1/2020 ADOBE

STORES ACCOUNT BALANCE SHEET

CG-3122 CG-DOL-4 5/1/2019 ADOBE

TIME PHASED FORCE DEPLOYMENT DATA (TPFDD)

As of: 11/1/2020

Form_Number

CG-3122A

CG-3123

CG-3133

CG-3142

CG-3143

CG-3144

CG-3145

CG-3146

CG-3150

CG-3150A

CG-3150B

CG-3168

CG-3170

CG-3170A

CG-3185

CG-3186

CG-3186A

CG-3191A

CG-3211

CG-3211A


CG-441 5/14/2019

TIME PHASED FORCE DEPLOYMENT DATA (TPFDD) WORKSHEET

CG-111

RATION MEMORANDUM

9/1/2016

RECORD OF ID CARD ISSUED

6/1/2004

CG-FAC-1

PORT STAKEHOLDER INTERFACE FORM

6/1/2010

CG-751

SHIPS POSITION

3/1/1967 100 SHEETS AH

CG-84

COLLECTION REGISTER

753000F012900 3/1/1967 100 SHEETS HD

CG-122

REQUEST FOR STATEMENT OF CREDITABLE SERVICE

3/1/1967 SH

CG-63

OIL CLEAN-UP EQUIPMENT AND SKIMMERS

6/1/2010

CG-774

ROUGH DIVING LOG

2/1/2020

CG-774 2/1/2020

INDEMNIFICATION AND RESPONSIBILITY STATEMENT OF PARENT ORGANIZATION

CG-774 2/1/2020

PHYSICAL SCREENING TEST

CG-84 753001F012950 3/1/1967 100 SHEETS HD

WORK ORDER CONTROL

CG-721 3/1/2019

PORT SECURITY UNIT GOLD TONE INSIGNIA CERTIFICATE

CG-721 3/1/2019

PORT SECURITY UNIT PEWTER TONE INSIGNIA CERTIFICATE

G-APO 753001GF31990 9/1/1986 CD

PAYMENT RECORD CARD

CG-45 753000F013000 9/1/1967 100 SHEETS HD

OPERATING RECORD MAIN ENGINES

CG-45 753001GF25750 11/1/1976 SHEET SH

OPERATING RECORD - MAIN PROPULSION

CG-43 11/1/1976

ELECTRONIC REPAIR PARTS ALLOWANCE LIST

CG-133 2/1/2020

OFFICER CANDIDATE SCHOOL AGREEMENT (NO PRIOR MILITARY SERVICE)

CG-133 2/1/2020

OFFICER CANDIDATE SCHOOL AGREEMENT (FORMER MEMBER OF CG OR OTHER ARMED FORCES)

Stock_Point

ADOBE

ADOBE

ADOBE

ONLINE

ELC

ELC

Homeport O

ADOBE

ADOBE

ADOBE

ELC

ADOBE

ADOBE

ELC

ELC

ELC

ADOBE

ADOBE

ADOBE

As of: 11/1/2020

Form_Number

CG-3211B

CG-3211C

CG-3213

CG-3213A

CG-3213B

CG-3273A

CG-3273B

CG-3273C

CG-33

CG-3300

CG-3300W

CG-3301

CG-3301A

CG-3301B

CG-3301C

CG-3301D

CG-3301E

CG-3301F

CG-3301G


CG-133 2/1/2020

OFFICER CANDIDATE SCHOOL AGREEMENT (ENLISTED MEMBER OF THE CG OR CG RESERVE)

CG-133 2/1/2020

OFFICER CANDIDATE SCHOOL AGREEMENT BETWEEN USA, DOT, USCG (CHIEF WARRANT OFFICER)

CG-NAV-1

FEDERAL AID TO NAVIGATION OPERATION REQUEST

5/1/2020

CG-NAV-1

FEDERAL FIXED AID TO NAVIGATION OPERATION REQUEST SUPPLEMENT

5/1/2020

CG-NAV-1

FEDERAL FLOATING AID TO NAVIGATION OPERATING REQUEST SUPPLEMENT

5/1/2020

G-OCC

ABSTRACT OF OPERATIONS - AIRCRAFT REPORT

9/1/1992 4PT SE SE

G-OCC

ABSTRACT OF OPERATIONS - BOAT REPORT

9/1/1992

G-OCC

ABSTRACT OF OPERATIONS - CUTTER REPORT

7/1/1993

CG-REG-2

BULK DRY CARGO RESIDUE REPORTING FORM

5/1/2020

CG-MLE-1

APPLICATION FOR PERMIT TO ENTER CUBAN TERRITORIAL SEAS

3/1/2011

CG-133 12/1/2008

STATEMENT OF UNDERSTANDING COLLEGE STUDENT PRE-COMMISSIONING INITIATIVE (CSPI)

CG-133

ENLISTMENT CONTRACT - USCG

753000F013280 9/1/1982 4PT SE SE

CG-133

STATEMENT OF UNDERSTANDING FOR ORIGINAL ENLISTMENT IN CG

6/1/2004

PPC

AGREEMENT TO EXTEND/REEXTEND ENLISTMENT

12/1/2014

PSC

DISCHARGE AND REENLISTMENT CONTRACT

753000F024550 10/1/1978 5PT SE SE

CG-133

2-YR ENLISTMENT W/A SELECTED RESERVE COMMITMENT

11/1/1989

CG-133 11/1/1989

STATEMENT OF UNDERSTANDING, SINGLE PARENT SURRENDERING CUSTODY OF A DEPENDENT

CG-133

TYPE I GUARANTEED CLASS "A" SCHOOL

11/1/1989

CG-133

TYPE II GUARANTEED CLASS "A" SCHOOL

11/1/1989

Stock_Point

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

G-OP

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ELC

ADOBE

DIRECT AC

ELC

COMP GEN

COMP GEN

COMP GEN

COMP GEN

CG-3301H CG-133 11/1/1989 COMP GEN

2-YR ACTIVE DUTY OBLIGATION, MGIB

As of: 11/1/2020

Form_Number

CG-3301I

CG-3301J

CG-3301K

CG-3301L

CG-3301M

CG-3301N

CG-3301-O

CG-3301P

CG-3301Q

CG-3301R

CG-3301S

CG-3301T

CG-3301U

CG-3301V

CG-3303

CG-3303-12

CG-3303-AST

CG-3303C-1

CG-3303C-10


CG-133

4-YR ACTIVE SERVICE OBLIGATION, MGIB

11/1/1989

CG-133

GUARANTEED GEOGRAPHIC AREA ASSIGNMENT

11/1/1989

CG-133

BUDDY ENLISTMENT PROGRAM

11/1/1989

CG-133

IADT USCGR-RP/RL PROGRAM

11/1/1989

CG-133

IADT USCGR-RK PROGRAM

11/1/1989

CG-133

IADT USCGR-RY PROGRAM

11/1/1989

CG-133

USCGR-RX PROGRAM

11/1/1989

CG-133

PROVISIONAL PETTY OFFICER PROGRAM (USCGR-RQ(P)/RN(P))

11/1/1989

CG-133

CG RESERVE NAVAL ACADEMY PREPARATORY SCHOOL PROGRAM (RF)

11/1/1989

CG-133

ENLISTMENT IN AN ADVANCED PAY GRADE

11/1/1989

CG-133

6-YR ENLISTMENT PROGRAM

10/1/1990

CG-133 2/1/1991

ANNEX K, STATEMENT OF UNDERSTANDING 6-YR ACTIVE DUTY ENLISTMENT OPTION MGIB

PSC 2/1/1991

ANNEX R, REQUIRED ENLISTMENT CONTRACT INFORMATION FOR PMIS DATA ENTRY

CG-1222 6/1/1997

ANNEX T STATEMENT OF UNDERSTANDING U.S. COAST GUARD ENLISTMENT BONUS

CG-1222

ACHIEVEMENT SHEET

9/1/1971

CG-1221

RECORD OF PERFORMANCE QUALIFICATIONS (GM) GUNNERSMATE

10/1/1989

FC-514 12/1/2006

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS AVIATION SURVIVAL TECHNICIAN (AST)

CG-CPE

RECORD OF PERFORMANCE QUALIFICATIONS (BM) BOATSWAINS MATE

10/1/1989 SHEET SH

CG-1221

RECORD PERFORMANCE QUALIFICATIONS (FS) FOOD SERVICE SPECIALIST

10/1/1989 SHEET SH

Stock_Point

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

COMP GEN

LOCAL REP

LOCAL REP

ADOBE

LOCAL REP

LOCAL REP

CG-3303C-11 CG-1221 10/1/1989 SHEET SH LOCAL REP

RECORD PERFORMANCE QUALIFICATIONS (AD) AVIATION MACHINISTS MATE

As of: 11/1/2020



RECORD PERFORMANCE QUALIFICATIONS (ET) ELECTRONICS TECHNICIAN


RECORD PERFORMANCE QUALIFICATIONS (IT) INFORMATION SYSTEMS TECHNICIAN


RECORD PERFORMANCE QUALIFICIATIONS INVESTIGATOR (IV) SPECIAL AGENT


RECORD PERFORMANCE QUALIFICATIONS (MK) MACHINARY TECHNICIAN


RECORD PERFORMANCE QUALIFICATIONS (MST) MARINE SAFETY TECHNICIAN


RECORD PERFORMANCE QUALIFICATIONS (DP) DATA PROCESSING TECHNICIAN


RECORD PERFORMANCE QUALIFICIATIONS (OS) OPERATIONS SPECIALIST


RECORD OF PERFORMANCE QUALIFICATIONS (QM) QUARTERMASTER


RECORD PERFORMANCE QUALIFICATIONS (PA) PUBLIC AFFAIRS SPECIALIST


RECORD PERFORMANCE QUALIFICATIONS (PS) PORT SECURITYMAN


RECORD PERFORMANCE QUALIFICATIONS (SK) STOREKEEPER


RECORD PERFORMANCE QUALIFICATIONS (YN) YEOMAN


PERFORMANCE QUALIFICATIONS (AMT) AVIATION MAINTENANCE TECHNICIAN


RECORD PERFORMANCE QUALIFICATIONS (SN) SEAMAN


RECORD PERFORMANCE QUALIFICATIONS (ASM) AVIATION SURVIVALMAN


RECORD PERFORMANCE QUALIFICATIONS (MST) MARINE SCIENCE TECHNICIAN


RECORD PERFORMANCE QUALIFICATIONS (SS) SUBSISTANCE SPECIALIST


RECORD PERFORMANCE QUALIFICATIONS (MRN) MILITARY REQUIREMENTS


RECORD PERFORMANCE QUALIFICATIONS (FN) FIREMAN


RECORD PERFORMANCE QUALIFICATIONS (HS) HEALTH SERVICES TECHNICIAN

As of: 11/1/2020

Form_Number

CG-3303C-4

CG-3303C-5

CG-3303C-6

CG-3303C-7

CG-3303C-8

CG-3303C-9

CG-3303C-AE

CG-3303C-AM

CG-3303C-BM

CG-3303C-DC

CG-3303C-EM

CG-3303C-EP

CG-3303C-ET

CG-3303C-FS

CG-3303C-GM

CG-3303C-HS

CG-3303C-IS

CG-3303C-IT

CG-3303C-IV


CG-1221 10/1/1989 SHEET SH

RECORD OF PERFORMANCE QUALIFICATIONS (AVT) AVIONICS TECHNICIAN

CG-1221 10/1/1989 SHEET SH

PERFORMANCE QUALIFICATIONS (AST) AVIATION SURVIVAL TECHNICIAN

CG-122 10/1/1989 SHEET SH

PERFORMANCE QUALIFICATIONS (BM) BOATSWAIN'S MATE

CG-1221 10/1/1989 SH SH

RECORD PERFORMANCE QUALIFICATIONS (DC) DAMAGE CONTROLMAN

CG-122 10/1/1989 SH SH

PERFORMANCE QUALIFICATIONS (EM) ELECTRONICS MATE

CG-1221 10/1/1989 SHEET SH

RECORD PERFORMANCE QUALIFICATIONS (ET) ELECTRONICS TECHNICIAN

FC-514 10/1/2007

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS AVIONICS ELECTRICAL TECHNICIAN (AET)

FC-514 12/1/2006

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS AVIATION MAINTENANCE TECHNICIAN (AMT)

FC-514 12/1/2009

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS BOATSWAIN'S MATE (BM0

FC-514 11/1/2007

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS DAMAGE CONTROLMAN (DC)

FC-514 8/1/2009

RECORD OF PERFORMANCE QUALIFICATIONS ELECTRICIANS MATE (EM)

FC-514 11/1/2007

RECORD OF PROFESSIONAL MILITARY EDUCATION (PME) RECRUIT ORIENTATION REQUIREMENTS (FOR E-2)

FC-514 3/1/2009

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS ELECTRONICS TECHNICIAN (ET)

FC-514 4/1/2006

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS FOOD SERVICE SPECIALIST (FS)

FC-514 3/1/2010

RECORD OF ENLISTED PERFORMACE QUALIFICATIONS (EPQ) GUNNER'S MATE (GM)

FC-514 5/1/2008

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS HEALTH SERVICES TECHNICIAN (HS)

FC-514 12/1/2007

RECORD OF PERFORMANCE QUALIFICATIONS INTELLIGENCE SPECIALIST (IS)

FC-514 3/1/2009

RECORD OF ENLISTED PERFOMANCE QUALIFICATIONS INFORMATION SYSTEMS TECHNICIAN (IT)

FC-514 10/1/2005

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS (EPQ) INVESTIGATOR (IV)

Stock_Point

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

CG-3303C-ME FC-514 12/1/2009 ADOBE

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS MARITIME ENFORCEMENT SPECIALIST (ME)

As of: 11/1/2020

Form_Number OPR / Title Stock_Number Date

CG-3303C-MK FC-514 3/1/2009

RECORD OF PERFORMANCE QUALIFICATIONS MACHINERY TECHNICIAN (MK)

CG-3303C-MS FC-514 7/1/2006

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS MARINE SCIENCE TECHNICIAN (MST)

CG-3303C-OS FC-514 8/1/2007

RECORD OF PERFORMANCE QUALIFICATIONS OPERATIONS SPECIALIST (OS)

CG-3303C-PA FC-514 11/1/2004

PERCORD OF PERFORMANCE QUALIFICATIONS PUBLIC AFFAIRS SPECIALIST (PA)

CG-3303C-PS FC-514 5/1/2008

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS PORT SECURITY SPECIALIST (PS)

CG-3303C-SK FC-514 3/1/2009

RECORD OF ENLISTED PERFORMANCE QUALIFICATIONS STOREKEEPER (SK)

CG-3303C-YN CG-133 10/1/2008

RECORD OF PERFORMANCE QUALIFICATIONS YEOMAN (YN)

CG-3304 PSC 1/2/1900

COURT MEMORANDUM

CG-3306 PSC 5/1/1983

MARKS

CG-3307 CGPC-adm-3 5/1/2020

ADMINISTRATIVE REMARKS

CG-3308 CG-44 6/1/2004

PERMANENT GOVERNMENT MOTOR VEHICLE OPERATORS RECORD

CG-3308A CG-43 6/1/2004

CERTIFICATE OF COMPLIANCE PRIVATE MOTOR VEHICLE REGISTRATION

CG-3319 CG-83 2/1/2020

CHANGE IN FINANCIAL PLAN

CG-3347 CG-CVC-4 5/1/2012

CARGO SHIP SAFETY EQUIPMENT CERTIFICATE

CG-3347A CG-CVC-4 2/1/1981

SUPPLEMENT TO THE CARGO SHIP SAFETY EQUIPMENT CERTIFICATE

CG-3347B CG-CVC-4 5/1/2012

CARGO SHIP SAFETY EQUIPMENT CERTIFICATE (FORM E)

CG-3348 CG-00J 753000F013770 7/1/1977

ADMINISTRATIVE LAW JUDGE MONTHLY REPORT

CG-3356 CG-1331 6/1/2004

APPLICATION FOR ARMED FORCES RESERVE MEDAL

CG-3364A CG-44 753000F013860 8/1/1968

INVENTORY TAG- OGR CONTROLLED MATERIAL READY FOR USE

U/D U/I

AH

SHEET SH

50 TAGS FY

Stock_Point

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

SDA II APPL

PSC

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

MISLE

ADOBE

ELC

ADOBE

ELC

CG-3378 CG-45 6/1/2004 ADOBE

BOAT ALTERATION

As of: 11/1/2020


CG-3415 CG-84

WORK ORDER COST SHEET

753000F014080 5/1/1968 50 SHEETS FY ELC

CG-3416 CG-2-CGIS

INTELLIGENCE PROGRAM ID CARD

3/1/1987 CARD CD CG-2-CGIS

CG-3416A CG-2-CGIS

SPECIAL AGENT ID CARD


CG-3417 CG-62

SPEED KEY CERTIFICATE

753000F014090 9/1/1971 50 CARDS FY ELC

CG-3430.8R CG-124

USCG PERFORMANCE PLAN AND EVALUATION

9/1/2018 ADOBE

CG-3439 CG-64

ELECTRONICS ALTERATION REQUEST/AUTHORIZATION

3/1/1975 ADOBE

CG-3439A CG-64

ELECTRONICS ALTERATION ACTION & PROJECT COMPLETION REPORT

3/1/1975 ADOBE

CG-3443 CG-1121

USCG HEALTH RECORD FOLDER

753000F014180 8/1/2011 FOLDER EA SFLC

CG-3443-1 CG-1121

USCG CLINICAL RECORD

753001GF25980 8/1/2011 FOLDER EA ELC

CG-3443-2 CG-112

USCG DENTAL RECORD FOLDER

753001GF28630 6/1/2010 FOLDER EA ELC

CG-3453 CG-5R

REQUEST FOR RESERVE ORDERS

6/1/2004 ADOBE

CG-3453A CG-5R

REQUEST FOR RESERVE ORDERS (CFF)

753001GF31630 3/1/1985 100 3PT SE HD CG-131

CG-3469 CG-1111

PROVISION INVENTORY CONTROL RECORD

6/1/2004 ADOBE

CG-3471 CG-1111

DAILY RATION COST RECORD

6/1/2004 ADOBE

CG-3472 CG-PSC-OP

REQUEST FOR EXTENDED ACTIVE DUTY

4/1/2020 ADOBE

CG-3476 CG-1111

INDIVIDUAL CREDIT ACCOUNT

4/1/2009 ADOBE

CG-3485 CG-751

WATCH QUARTER AND STATION BILL

753000F014340 5/1/1972 SHEET SH ELC

CG-3496 CG-452

RECORD OF THE SHIP STRUCTURE & MACHINERY EVALUATION BOARD

2/1/2020 ADOBE

CG-3496A CG-452

SHIP STRUCTURE & MACHINERY EVALUATION BOARD INDEX

2/1/2020 SA ADOBE

CG-3496B CG-452

SHIP STRUCTURE & MACHINERY EVALUATION BOARD - MEMBERS/CUTTER DATA

2/1/2020 ADOBE

As of: 11/1/2020


CG-3496C CG-452 2/1/2020 ADOBE

SHIP STRUCTURE & MACHINERY EVALUATION BOARD - FINDINGS/RECOMMENDATIONS

CG-3496D CG-452 2/1/2020 ADOBE

SHIP STRUCTURE & MACHINERY EVALUATION BOARD - MAIN PROPULSION MACHINERY FINDINGS

CG-3496E CG-452 2/1/2020 ADOBE

SHIP STRUCTURE & MACHINERY EVALUATION BOARD - AUXILIARY MACHINERY FINDINGS

CG-3496F CG-452 5/1/2020 ADOBE

SHIP STRUCTURE & MACHINERY EVALUATION BOARD - PRIME MISSION EQUIPMENT FINDINGS

CG-3496G CG-452 2/1/2020 ADOBE

SHIP STRUCTURE & MACHINERY EVALUATION BOARD - INSIDE COMPARTMENT FINDINGS

CG-3496H CG-452 2/1/2020 ADOBE

SHIP STRUCTURE & MACHINERY EVALUATION BOARD - EXTERIOR DECK SPACE FINDINGS

CG-3496I CG-452 2/1/2020 ADOBE

SHIP STRUCTURE & MACHINERY EVALUATION BOARD - HULL EXTERIOR IN DRYDOCK FINDINGS

CG-3500 CG-452 6/1/2013 ADOBE

NAVAL ENGINEER DESIGNATION CERTIFICATE

CG-3501 FORCECOM 10/1/2016 ADOBE

UNITED STATES COAST GUARD RESOURCE AND CAPABILITIES EVALUATION (CG-RACE) SYSTEM USER ACCOUNT

CG-3502A CG-61 753000F011710 6/1/1984 500 LABELS BX ELC

CG WIDE FRANKED MAILING LABEL (CFF)

CG-3510 CG-133 4/1/1967 SHEET SH G-WPM

RECORD OF PROCEEDINGS OF A CG PHYSICAL EVALUATION BOARD

CG-3511 CGPC-adm 4/1/1967 ADOBE

PROCEEDINGS & RECOMMENDED FINDINGS OF CG PHYSICAL EVALUATION BOARD - (SECTION I&II)

CG-3511A CGPC-adm 4/1/1967 ADOBE

PROCEEDINGS & RECOMMENDED FINDINGS OF CG PHYSICAL EVALUATION BOARD - (SECTION III-VI)

CG-3512 CGPC-adm 2/1/2020 ADOBE

PHYSICAL EVALUATION BOARD CHECKLIST

CG-3513 CG-133 3/1/2020 ADOBE

COAST GUARD PHYSICAL DISABILITY EVALUATION BOARD STATEMENT OF RIGHTS OF EVALUEE

CG-3517 CG-61 753000F014550 8/1/1986 100 SHEETS HD CG-61

USCG LETTERHEAD STATIONERY - CG WIDE

CG-3517A CG-61 7/1/1993 ADOBE

USCG LETTERHEAD STATIONERY (FIELD UNITS)

CG-3517B CG-61 753001GF28400 4/1/1983 5 PT SE SE ELC

USCG LETTERHEAD STATIONERY (GRID FOR DIRECTIVES)

CG-3517D CG-61 753001GF29430 7/1/1984 4PT SE (CFF) BX ELC

USCG LETTERHEAD STATIONERY - FIELD UNITS (CFF)

CG-3517G G-OPT 3/1/1981 SHEET SH G-OPT

BRIDGE PERMIT (STATIONERY)

As of: 11/1/2020


CG-3517H G-OPT

BRIDGE PERMIT CONTINUATION SHEET

3/1/1981 SHEET SH G-OPT

CG-3518 CG-61

USCG FRANKED POSTAL CARD

753000F014570 4/1/1983 50 CARDS FY ELC

CG-3524 CG-11

PROPERTY AND RECORDS CLEARANCE

753000F014590 4/1/1967 50 SHEETS FY ELC

CG-3525 CG-112

HAND WASHING SANITATION POSTER

753000F014600 4/1/1967 POSTER EA ELC

CG-3526 CG-112

HAND WASHING SANITATION POSTER (FIVE HANDS)

753000F014610 4/1/1967 POSTER EA ELC

CG-3527 CG-112

HAND WASHING SANITATION POSTER (MAN WASHING HANDS)

753000F014620 4/1/1967 POSTER EA ELC

CG-3584 CG-61

CLEARANCE SHEET

12/1/1987 ADOBE

CG-3585 CG-CVC-2

CERTIFICATE OF COMPLIANCE

5/1/2020 ADOBE

CG-3594 CG-BSX

AUXILIARY - CME REPORT

2/1/1981 100 4PT SE HD ANSC

CG-3600 PSC

DESIGNATION OF BENEFICIARY FOR PAYMENT OF UNPAID RETIRED PAY

8/1/2012 ADOBE

CG-3615 CG-BSX

AUXILIARY RECORD OF UNIT MEETING

6/1/2004 SA ADOBE

CG-3621 CG-84

BILLING FOR SALE OF MATERIALS OR SERVICES

753000F014730 2/1/1976 25 4PT SE PD ELC

CG-3639 CG-INV

WATER POLLUTION VIOLATION REPORT

7/1/1976 BOOK PG ELC

CG-3639A CG-INV

WATER POLLUTION INCIDENT REPORT WORKBOOK

753001GF25120 7/1/1976 BOOK BK ELC

CG-3641 CG-BSX

USCG AUXILIARY LETTERHEAD

3/1/2020 SA ADOBE

CG-3642 CG-BSX 11/1/1968 1000 SHEET

USCG AUXILIARY MAINTENANCE, OPERATION & NAVIGATION OF SMALL CRAFT STATIONERY LETTERHEAD

MX ANSC

CG-3652 CG-43

REPORT OF CHANGES TO FEDERAL REAL PROPERTY

2/1/2020 ADOBE

CG-3654A G-CPE

SUGGESTION RECORD

6/1/1972 CARD CD ELC

CG-3669 CG-BSX

USCG AUXILIARY FLOTILLA CHARTER CERTIFICATE

4/1/1967 CERTIFICAT EA ANSC

CG-3671 PSC

ALLOTMENT ADDRESS CHANGE

5/1/1988 CD PSC

As of: 11/1/2020

Form_Number

CG-3684

CG-3684A

CG-3695

CG-3698A

CG-3700

CG-3701

CG-3710

CG-3710A

CG-3710B

CG-3710C

CG-3719A

CG-3719D

CG-3739

CG-3740

CG-3746

CG-3750

CG-3752

CG-3752A

CG-3760


CG-5R

INITIAL SCREENING AND QUALIFICATIONS QUESTIONNAIRE

6/1/2004

CGPC-rpm 753000F014920 4/1/1967 100 SHEETS

GENERAL INSTRUCTIONS FOR PREPARATION OF INITIAL SCREENING & QUALIFICATIONS QUESTIONNAIRE

HD

CG-132

MONTHLY TRAINING REPORT

6/1/1986 100 SHEETS HD

CGPC-epm-2

ASSIGNMENT DATA

10/1/1989

ATTC

PILOT TRAINING RECORD

1/1/2014

ATTC

AIRCREW TRAINING RECORD

9/1/2019

CG-711

FUEL MAINTENANCE LOG

11/1/2015

CG-711

FUEL TEST EQUIPMENT CORRELATION LOG

11/1/2015

ATC MOBILE

CALIBRATION CHART

9/1/2017

ATC MOBILE

STANDARD ISSUE PPE MAINTENANCE RECORD

9/1/2017

CG-121

CERTIFICATE OF TRAINING

753000F014970 7/1/1988 100 SHEETS HD

CG-121

USCG CERTIFICATE OF TRAINING

3/1/2020

CG-NAV-1

WATERWAYS ATON PROJECT SCHEDULE

6/1/2004

CG-NAV-1 6/1/2004

APPROVED CORPS OF ENGINEERS RIVERS/HARBORS IMPROVEMENT PROJECTS REPORT

CG-BSX

USCG AUXILIARY HONORARY MEMBERSHIP CERTIFICATE

1/1/1980 CERTIFICAT EA

NMC 753000F015030

LICENSE FOR OPERATORS OF SMALL CRAFTS (ACCOUNTABLE FORM)

4/1/1982 BK

CG-CVC-1

APPLICATION FOR INSPECTION OF U.S. VESSEL

5/1/2020

CG-CVC-1

APPLICATION FOR INSPECTION OF U.S. VESSEL (NEW CONSTRUCTION)

1/1/2007

CG-81

USCG AWARD AUTHORIZATION

7/1/1989

Stock_Point

ADOBE

ELC

ELC

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ELC

ADOBE

ADOBE

ADOBE

ELC

ELC

ADOBE

ADOBE

ADOBE

CG-3765 CG-452 2/1/2020 ADOBE

HULL HISTORY CARD

As of: 11/1/2020


CG-3788A PSC-EPM-3 2/1/2019 ADOBE

ENLISTED EMPLOYEE REVIEW WORKSHEET - NON-RATED

CG-3788B PSC-EPM-3 2/1/2019 ADOBE

ENLISTED EMPLOYEE REVIEW WORKSHEET - PETTY OFFICER

CG-3788C PSC-EMP-3 2/1/2019 ADOBE

ENLISTED EMPLOYEE REVIEW WORKSHEET - MASTER, SENIOR CHIEF PETTY OFFICER

CG-3788D PSC-EPM-3 6/1/2020 ADOBE

ENLISTED EVALUATION REPORT FIRST CLASS PETTY OFFICER

CG-3788E PSC-EPM-3 2/1/2019 ADOBE

ENLISTED EVALUATION REPORT CHIEF PETTY OFFICER

CG-3788F PSC-EPM-3 2/1/2019 ADOBE

ENLISTED EVALUATION REPORT SENIOR CHIEF

CG-3788G PSC-EPM-3 2/1/2019 ADOBE

ENLISTED EVALUATION REPORT MASTER CHIEF PETTY OFFICER

CG-3799 CGPC-rpm 1/1/1988 SHEET SH DIRECT AC

ANNUAL SCREENING QUESTIONNAIRE FOR USCG RESERVISTS

CG-3799R CG-5R 9/1/2011 ADOBE

RESERVE ANNUAL SCREENING QUESTIONNAIRE

CG-3822 CG-0944 7/1/2019 ADOBE

INJURY REPORT FOR NOT MISCONDUCT AND IN-LINE OF DUTY DETERMINATION

CG-3822 PAS CG-0944 10/1/1975 ADOBE


CG-3825 CG-BSX 7/1/1993 100 ENVEL HD ANSC

CG AUXILIARY ENVELOPE

CG-3839 CG-751 753000F015180 4/1/1967 POSTER EA ELC

TUGBOAT SIGNALS

CG-3853 CG-83 3/1/2020 ADOBE

PERSONAL EFFECTS INVENTORY AND DISPOSITION

CG-3865 CG-BSX-2 9/1/2018 ADOBE

RECREATIONAL BOATING ACCIDENT REPORT

CG-3865SP CG-BSX-2 2/1/2014 ADOBE

RECREATIONAL BOATING ACCIDENT REPORT (SPANISH)

CG-3867 PSC 2/1/2010 ADOBE

CLAIM FOR FINAL RETIRED PAY

CG-3883 CG-61 4/1/1983 ADOBE

RAPIDRAFT LETTER STATIONERY

CG-3887 CG-133 2/1/1959 CERTIFICAT EA CG-122

CERTIFICATE OF RETIREMENT FROM THE ARMED FORCES OF THE USA

CG-3887A PPC 6/1/1990 CERTIFICAT EA PPC

CERTIFICATE OF RETIREMENT (RESERVE)

As of: 11/1/2020


CG-3914 CG-84

ANALYSIS OF INDUSTRIAL WORK ORDERS

753000F015400 11/1/1984 SHEET SH ELC

CG-3932 CG-61

FORM CHANGE NOTICE

2/1/2003 ELC

CG-3934 CG-133

CERTIFICATE OF APPRECIATION (HIS)

11/1/1988 CERTIFICAT EA G-WPM

CG-3934A CG-133

CERTIFICATE OF APPRECIATION (HERS)

11/1/1988 CERTIFICAT EA G-WPM

CG-4004 CG-122

REQUEST FOR SPECIAL HANDLING OF SALARY CHECKS

753000F015540 11/1/1967 50 SHEETS FY PSC

CG-4005 CG-ENG-2

SMALL PASSENGER VESSEL SIMPLIFIED SUB-DIVISION CALCULATION

8/1/1979 SHEETS SH LOCAL REP

CG-4006 CG-ENG-2

SMALL PASSENGER VESSELS SIMPLIFIED STABILITY TEST PROCEDURE

6/1/2004 ADOBE

CG-4010 CG-41

UNSATISFACTORY REPORT OF AERONAUTICAL EQUIPMENT

4/1/1993 ADOBE

CG-4020 CG-FAC-2

4 HOUR ADVANCE NOTICE OF TRANSFER

CG-4035 CG-0922

BIOGRAPHICAL INFORMATION

10/1/1984 ADOBE

CG-4048 CG-122

OWNERS EVALUATION OF MOVING SERVICE

753000F015680 8/1/1971 50 CARDS FY ELC

CG-4057 CG-1121

CHRONOLOGICAL RECORD OF SERVICE

6/1/2019 ADOBE

CG-4060 CG-43

USCG ENGINEERING DRAWING SHEET 36 X 24 INCHES

753000F015740 5/1/1967 100 SHEETS HD ELC

CG-4074A CG-452

CUTTER ENGINEERING REPORT FOR ASSETS ENROLLED IN EAL AND ACMS

10/1/2012 ADOBE

CG-4075 CG-122

OFFICER SELECTION TEST DATA

8/1/1980 ELC

CG-4077 CG-43

MOTOR VEHICLE OPERATORS ID CARD APPLICATION AND RECORD

6/1/2004 ADOBE

CG-4082 PSC-opm-4

RECORD OF PROFESSIONAL DEVELOPMENT

7/1/2017 ADOBE

CG-4094 CG-43

SHORE STATION MAINTENANCE RECORD

2/1/2020 ADOBE

CG-4100 CG-MLE

REPORT OF BOARDING

753001GF25080 9/1/2015 25 4PT SE PD ADOBE

CG-4100A CG-MLE

ACKNOWLEDGEMENT OF RIGHTS

3/1/2020 ADOBE

As of: 11/1/2020

Form_Number

CG-4100F

CG-4100N

CG-4100S

CG-4111

CG-4112

CG-4112A

CG-4113

CG-4121

CG-4122

CG-4134

CG-4139

CG-4140

CG-4143

CG-4146

CG-4147

CG-4150

CG-4151

CG-4155

CG-4170


CG-CVC-3 753001GF32610 10/1/2002 25 4PT SE PD SFLC

COMMERCIAL FISHING VESSEL BOARDING REPORT

CG-MLE 3/1/2020 ADOBE

NATIONAL VESSEL MONITORING SYSTEM (N-VMS) DATA NON-DISCLOSURE AGREEMENT

CG-BSX-2 753001GF32500 3/1/2020 SA ADOBE

SUPPLEMENTAL BOARDING REPORT

CG-133 3/1/2020 ADOBE

DEMAND ON CARRIER/CONTRACTOR

CG-0944 7/1/2019 ADOBE

PERSONAL PROPERTY CLAIM FORMS

CG-0944 7/1/2019 ADOBE

CLAIMS INVESTIGATING OFFICER'S REPORT OF PERSONAL PROPERTY CLAIM

CG-133 6/1/2004 ADOBE

RECORD OF EMERGENCY DATA

CG-441 2/1/2020 ADOBE

ICP PHYSICAL INVENTORY PREPARATION AND COUNT PHASE CHECKLIST

CG-43 2/1/2020 ADOBE

PERMIT FOR USE OF REAL PROPERTY BY OTHER FEDERAL AGENCIES

CG-43 753000F016130 7/1/1984 SHEET SH ELC

INDUSTRIAL BUDGET - OPERATING PLAN, PART II

CG-62 3/1/2020 ADOBE

RADIO-BEACON FIELD INTENSITY MEASUREMENT

G-APO 4/1/1967 FPL

HOUSEHOLD GOODS SHIPMENT RECORD

CG-NAV-1 5/1/2018 ADOBE

APPLICATION FOR CLASS I PRIVATE ATON ARTIFICIAL ISLANDS & FIXED STRUCTURES

CG-111 4/1/1967 SHEET ADOBE

MESS STATEMENT

CG-132 3/1/2020 ADOBE

APPLICATION FOR COAST GUARD TUITION ASSISTANCE

CG-45 6/1/2004 ADOBE

FULL POWER TRIAL LOG FOR 180 FT. WAGO/WLB - 143 AND 230 WMEC'S

CG-133 1/1/1984 CARD CD ACADEMY

APPLICATION FOR APPOINTMENT AS CADET, USCG

CG-133 11/1/1967 SHEET SH ACADEMY

EVALUATION QUESTIONNAIRE - MILITARY PERSONNEL

CG-122 7/1/1988 SDA II APPL

BAQ DEPENDENCY DETERMINATION VERIFICATION

CG-4170A PPC 9/1/1993 DIRECT AC

BAQ DEPENDENCY/EMERGENCY DATA AND SGLI VALIDATION

As of: 11/1/2020


CG-4175 CG-5R

USCG RESERVE RETIREMENT POINTS STATEMENT

6/1/1987 DIRECT AC

CG-4178A CG-133

GOOD CONDUCT CERTIFICATE

5/1/2020 ADOBE

CG-4183 CG-833

UNIT CHANGE OF ADDRESS FORM

11/1/2018 ADOBE

CG-4187 CG-61

VITAL RECORDS LISTING

5/1/2020 ADOBE

CG-4190 CG-5R

CERTIFRICATE OF HONORABLE SERVICE - RESERVE (TEMPORARY)

10/1/1962 CERTIFICAT EA G-WTR

CG-4200 CG-CVC-3

WATERFRONT FACILITY INSPECTION REPORT

7/1/1969 25 2PT SE SE ELC

CG-4201 CG-FAC

WELDING AND HOT-WORK-PERMIT

8/1/2012 AH ADOBE

CG-4217 CG-0921

INTERIM RESPONSE

7/1/2019 ADOBE

CG-4218 CG-1111

FLIGHT MEAL REQUEST

753000F016460 10/1/2008 ADOBE

CG-4222 PPC

ALLOTMENT AUTHORIZATION

1/1/2000 RAS

CG-4222A PSC

ALLOTMENT AUTHORIZATION (CFF)

753001GF33000 1/1/1990 100 4PT SE BX ELC

CG-4229 CG-612

USCG DIGEST

5/1/2020 ADOBE

CG-4233 CG-84

ANALYSIS OF WORK ORDER COSTS BY CLASS OF UNIT

753000F016510 10/1/1972 50 SHEETS FY ELC

CG-4242 CG-84

DISBURSEMENT AND EXPENDITURE DOCUMENT

753000F016560 11/1/1967 1000 SHEET HD ELC

CG-4243 CG-84

EXPENDITURE DOCUMENT - JOURNAL VOUCHER

753000F016570 4/1/1967 100 SHEETS HD ELC

CG-4244 CG-84

DISBURSEMENT DOCUMENT

753000F016580 11/1/1967 100 SHEETS HD ELC

CG-4245 CG-84

OBLIGATION JOURNAL VOUCHER

753000F016590 4/1/1967 100 SHEETS HD ELC

CG-4246 CG-1111

PROVISION LEDGER

6/1/2004 ADOBE

CG-4251 PPC

MILITARY & CIVILIAN (TAD/TD) REQUEST & TRAVEL VOUCHER

6/1/2019 ADOBE

CG-4260 CG-CVC-3

APPLICATION AND PERMIT TO HANDLE HAZARDOUS MATERIALS

12/1/2019 ADOBE

As of: 11/1/2020

Form_Number

CG-4261

CG-4263

CG-4267

CG-4280

CG-4281

CG-4327

CG-4328D PA

CG-4342

CG-4355

CG-4356

CG-4356A

CG-4358

CG-4359

CG-4359A

CG-4360

CG-4361

CG-4377

CG-4377A

CG-4377B


CG-1111

PROVISION INVENTORY REPORT

6/1/2004

CG-84

ALLOTMENT JOURNAL VOUCHER

753000F016690 4/1/1967 100 SHEETS

CG-84

DOCUMENT LOG SHEET - EAM

753000F016710 4/1/1967 100 SHEETS HD

CG-9132

COAST GUARD CONTRACT PAYMENT APPROVAL

3/1/2020

CG-612

INDEPENDENT GOVERNMENT ESTIMATE (IGE) AND STATEMENT OF WORK FOR FORM DEVELOPMENT

CG-441

VEHICLE ACQUISITION & DISPOSITION REPORT

1/1/2005

CG-00


753001GF26760 10/1/1975 SHEET SH

CG-83

EXCESS PERSONAL PROPERTY

753000F017210 4/1/1967 50 TAGS FY

CG-ENG-5 6/1/2004

CHARACTERISTICS OF LIQUID CHEMICALS PROPOSED FOR BULK WATER MOVEMENT

CG-2-CGIS

QUARTERLY REPORT OF INVESTIGATIVE CASELOAD

1/1/1976

CG-2-CGIS

CG INVESTIGATIONS TIME REPORT

753001GF29040 2/1/1976 SHEET SH

CG-121

CIVILIAN OVER-TIME AUTHORIZATION

6/1/2004

CG-CVC-4

CARGO SHIP SAFETY CONSTRUCTION CERTIFICATE

5/1/2020

CG-CVC-4

SUPPLEMENT TO THE CARGO SHIP SAFETY CONSTRUCTION CERTIFICATE

2/1/1981

CG-CVC-1

INTERNATIONAL SHIP SECURITY CERTIFICATE

5/1/2020

CG-CVC-1

INTERIM INTERNATIONAL SHIP SECURITY CERTIFICATE

5/1/2020

CG-711

AIRCRAFT FLIGHT RECORD

753000F017390 12/1/1988 100 4PT SE HD

CG-41

FLIGHT SAFETY MAINTENANCE DOCUMENT

2/1/2020

CG-41

NO FLY

2/1/2020

Stock_Point

ADOBE

ELC

ELC

ADOBE

ADOBE

ELC

ELC

ADOBE

ADOBE

ELC

ADOBE

MISLE

ADOBE

ADOBE

ELC

ADOBE

ADOBE

CG-4380 G-OCU-3 753000F017400 6/1/1967 SHEET SH ELC

LOG BOOK SHEET

As of: 11/1/2020


CG-4380A CG-751

LOG REMARKS SHEET

1/1/2020 ADOBE

CG-4380B CG-751

LOG - WEATHER OBSERVATION AND OPERATIONAL SUMMARY SHEET

12/1/2019 ADOBE

CG-4380C CG-751

LOG - NAVIGATION DATA SHEET

8/1/2019 ADOBE

CG-4380D CG-751

MONTHLY LOG BINDER

753000F017440 2/1/1970 BINDER EA ELC

CG-4380E G-OCU

INSTRUCTIONS FOR KEEPING UNIT LOG

753000F017450 11/1/1977 12 PAGE SET SE ELC

CG-4385 CG-84

GENERAL LEDGER ACCOUNT

753000F017490 6/1/1972 1000 SHEET MX ELC

CG-4386 CG-84

GENERAL LEDGER TRIAL BALANCE

753000F017500 5/1/1972 1000 SHEET MX ELC

CG-4391 CG-84

GENERAL LEDGER JOURNAL VOUCHER

753000F017540 6/1/1967 HD ELC

CG-4394 G-OP

PUBLICATION REVIEW CARD

10/1/1984 CARD CD G-OP

CG-4408 CG-84

CASH CONTROL - APPROPRIATION DISBURSEMENTS

753000F017600 6/1/1970 100 SHEETS HD ELC

CG-4413 CG-121

CIVILIAN EMPLOYEE DATA CHANGE

753000F017650 6/1/1967 100 SHEETS FY ELC

CG-4420 CGRC

RECRUITERS CHECK-OFF LIST

753000F017690 1/1/1979 100 FOLDER HD ELC

CG-4423 CG-WWM

APPLICATION FOR MARINE EVENT

9/1/2014 ADOBE

CG-4424 CG-BSX-2

PERMIT FOR MARINE EVENT

3/1/2020 ADOBE

CG-4428 CG-612

REQUEST FOR DIRECTIVES

2/1/2014 ADOBE

CG-4436 CG-5R

RESERVE ORDERS AND PAY VOUCHER

9/1/1990 SHEET ADOBE

CG-4436B CG-5R

RESERVE ORDERS AND PAY VOUCHER (CFF)

753001GF31050 1/1/1985 50 6PT SE FY ELC

CG-4441 CG-44

INTERIM STOCK REPLENISHMENT SLIP

3/1/1967 ADOBE

CG-4445 CGRC-ACC

REQUEST FOR PERSONAL REFERENCE (COMMISSIONED OFFICER)

3/1/2020 ADOBE

CG-4445A CG-133

REQUEST FOR PERSONAL REFERENCE (ENLISTED)

3/1/2020 ADOBE

As of: 11/1/2020


CG-4457 PSC

UNIT ATTENDANCE RECORD

3/1/1984 SE LOCAL REP

CG-4458 CG-132

RESERVE PAYROLL AND POINTS LISTING

2/1/1988 SHEET SH PSC

CG-4458A CG-133

RESERVE EARNING STATEMENT (SELF-MAILER)

4/1/1984 4PT SE SE PSC

CG-4481 CG-BSX

USCG AUXILIARY RETIRED STATUS CERTIFICATE


CG-4482 CG-44

CAPITAL AUTHORIZATION CONTROL

753000F017940 5/1/1982 50 SHEETS FY ELC

CG-4491 CG-441

PARTS MATERIAL REQUEST FORM

5/1/2011 ADOBE

CG-4500 CG-9131

FINCEN PURCHASE CARD AUDIT DOCUMENTATION COVER SHEET/CHECKLIST

3/1/2020 ADOBE

CG-4501 CG-844

REPORT OF EXCESS PERSONAL PROPERTY

4/1/2012 ADOBE

CG-4502 CG-844

REPORT OF EXCHANGE/SALE

10/1/2012 ADOBE

CG-4503 CG-NAV-1

INDUCTIVE SALINOMETER SALINITY LOG SHEET

753000F018010 2/1/1971 50 SHEETS PD ELC

CG-4503A CG-844

PROPERTY ACTION FORM

8/1/2016

CG-4504 CG-CVC-2

CONTROL VERIFICATION FOR FOREIGN VESSEL

12/1/1967 MISLE

CG-4505 CG-844

PROPERTY ACTION FORM

1/1/2017 ADOBE

CG-4509 CG-WWM2

APPLICATION FOR REGISTRATION U.S. REGISTERED PILOT

11/1/2013 ADOBE

CG-4510 CG-54122

CERTIFICATE OF REGISTRATION

4/1/1967 CARD CD CG-4510

CG-4511 CG-45122

APPLICANT PILOT IDENTIFICATION

4/1/1967 CARD CD CG-45122

CG-4512 CG-54122

CERTIFICATE OF AUTHORIZATION FOR PILOTAGE POOLS

4/1/1967 SHEET SH CG-54122

CG-4513 CG-54122

APPLICATION FOR AUTHORIZATION TO ESTABLISH A PILOTAGE POOL OR POOLS

4/1/1967 SHEET SH CG-54122

CG-4517 CG-103

MORAL FUND TRANSACTION ACCOUNTING SHEET

3/1/2020 ADOBE

CG-4518 CG-103

MORALE FUND LOAN ACCOUNTING SHEET

6/1/2004 ADOBE

As of: 11/1/2020


CG-4529 CG-103

USCG EXCHANGE SYSTEM - DAILY JOURNAL


CG-4529A CG-103

USCG EXCHANGE SYSTEM - SALES AND CASH RECEIPT

753001GF29510 12/1/1989 SHEET SH ELC

CG-4529B CG-103

USCG EXCHANGE SYSTEM - INDIVIDUAL PAYROLL

12/1/1989 ADOBE

CG-4529C CG-103

USCG EXCHANGE SYSTEM - ACCOUNTS RECEIVABLE PAYABLE LOG

12/1/1989 ADOBE

CG-4535 CG-84

SALES AND COLLECTION RECORD

753000F018210 6/1/1967 50 SHEETS FY ELC

CG-4553 CG-103

USCG NAFA - PURCHASE ORDER

6/1/2004 ADOBE

CG-4553A CG-103

USCG NAFA - PURCHASE ORDER CONTINUATION SHEET

6/1/2004 ADOBE

CG-4580 CG-84

SUMMARY OF STORES TRANSACTIONS CG SUPPLY FUND

753000F018430 1/1/1968 100 SHEETS HD ELC

CG-4589 CG-11

RECEIPT OF APA MATERIAL

6/1/2004 ADOBE

CG-4590 CG-612

CONCURRENT CLEARANCE

5/1/2020 ADOBE

CG-4593 NVDC 8/1/2016

APPLICATION, CONSENT & APPROVAL FOR WITHDRAWAL OF APPLICATION FOR DOCUMENTATION

ADOBE

CG-4599 G-OPT

BRIDGES OVER NAVIGABLE WATERS OF THE U.S. COMPLETION REPORT

3/1/2011 ADOBE

CG-4600 CG-1332

PREMIUM CLASS TRAVEL AUTHORIZATION /APPROVAL WORKSHEET

2/1/2018 ADOBE

CG-4602A CG-CVC-1

OIL RECORD BOOK FOR OIL SHIPS

753001GF30660 1/1/2007 BOOK BK SFLC

CG-4602B CG-CVC-4

CARGO RECORD BOOK

753001GF90010 1/1/2008 BOOK BK SLFC

CG-4608 CG-2-CGIS

REPORT OF INVESTIGATION

6/1/2004 ADOBE

CG-4610 NMC

MERCHANT MARINER CREDENTIAL

5/1/2012 BOOK BK NMC

CG-4610A NMC

Merchant Mariner Medical Certificate

5/1/2012 CARD CD NMC

CG-4610B NMC

RECOGNITION OF FOREIGN CERTIFICATE (MERCHANT MARINER)

5/1/2012 CERTIFICAT NMC

CG-4610C NMC

USCG MARINER CREDENTIAL PROGRAM CUSTOMER SATISFACTION SURVEY

ONLINE

As of: 11/1/2020


CG-4612 CG-SAR 753000F020170 6/1/2004 50 FOLDERS FY SFLC

SEARCH AND RESCUE INCIDENT FOLDER

CG-4612-AUX CG-BSX 10/1/1996 50 FOLDERS FY ANSC

AUXILIARY SAR INCIDENT REPORT

CG-4614 CG-5R 6/1/2004 ADOBE

REPORT OF ILLNESS OF RESERVIST

CG-4616 CG-BSX 4/1/1969 SHEET SH ANSC

DIVISION CHARTER CERTIFICATE

CG-4617 CG-BSX 7/1/2000 100 CERT. PG ANSC

AUXILIARY COMMENDATION AWARD

CG-4617A CG-BSX-1 8/1/2000 CERTIFICAT ANSC

AUXILIARY COMMANDANT LETTER OF COMMENDATION AWARD

CG-4617B CG-BSX 8/1/2000 ANSC

AUXILIARY ANNUAL SERVICE PERFORMANCE AWARD

CG-4618 CG-BSX 1/1/1984 CERTIFICAT EA ANSC

AUXOP MEMBER CERTIFICATE

CG-4620 CG-FAC-1 3/1/2014

MTS EXECUTIVE SUMMARY TEMPLATE

CG-4622 CG-103 6/1/2004 SA ADOBE

STATUS OF SATELLITE EXCHANGE

CG-4637 CG-SAR 10/1/1968 SHEET SH AMVER

AMVER AWARD CERTIFICATE

CG-4646 CG-122 753000F020070 4/1/1967 ELC

PROVISION LEDGER

CG-4650 CG-DCO-I 8/1/2013 ADOBE

REQUEST FOR NO-FEE PASSPORT FORM

CG-4650A CG-DCO-1 8/1/2013 ADOBE

REQUEST FOR NO-FEE VISA FORM

CG-4650B CG-DCO-1 ONLINE

REQUEST TO CANCEL AND RETURN/CANCEL AND DESTROY OFFICIAL PASSPORT

CG-4671 CGPC-rpm 753000F020130 1/1/1969 SHEET SH ELC

DISABILITY ORDERS & NOTICE OF ELIGIBILITY FOR DISABILITY BENEFITS

CG-4685 CG-711 3/1/2020 ADOBE

AIRCREW CERTIFICATE

CG-4691 CG-BSX 4/1/1995 100 4PT SE HD ANSC

AUXILIARY - NOTICE OF INTENT TO TEACH PUBLIC EDUCATION COURSE

CG-4696 CG-121 753000F020390 11/1/1979 50 SHEETS FY ELC

ASSESSMENT OF SUPERVISORY POTENTIAL

CG-4700 PPC 6/1/2019 ADOBE

COAST GUARD & NOAA RETIRED PAY ACCOUNT WORKSHEET AND SURVIVOR BENEFIT PLAN ELECTION

As of: 11/1/2020


CG-4709 CG-BSX

AUXILIARY INFORMATION REQUEST

1/1/1995 25 CARDS PD ANSC

CG-4712 CG-1333

HOUSING REQUIREMENT ANALYSIS

8/1/1986 SH ADOBE

CG-4716 CG-122

ADVANCEMENT RECOMMENDATION AND EXAMINATION REQUEST

11/1/1983 4PT SE SE CG INST.

CG-4717 CG-133

JOB TASK INVENTORY QUESTIONNAIRE

4/1/1989 COVER EA G-WPM

CG-4720 CG-BSX

AWARD OF OPERATIONAL MERIT

7/1/2005 100 CERT. PG ANSC

CG-4729 CG-81

MILITARY INCENTIVE AWARDS PROGRAM REPORT

10/1/1975 SHEET SH G-CPP

CG-4733 CG-81

USCG BENEFICIAL SUGGESTION FORM

753000F020860 2/1/1988 SHEET SH ELC

CG-4733A CG-81

ACKNOWLEDGEMENT OF SUGGESTION

753000F020820 7/1/1981 SH SH ELC

CG-4750 CG-BSX

FINANCIAL REPORT OF AN AUXILIARY UNIT


CG-4756B G-OCA

HH-3F FIRE FIGHTING AND CRASH CREW CHART

753000F021180 12/1/1970 POSTER EA ELC

CG-4764 CG-86

ADMINISTRATIVE DISCREPANCY NOTICE

5/1/1993 ADOBE

CG-4764A

TOP SECURITY DISCLOSURE RECORD

6/1/2004 ADOBE

CG-4768 G-CPE

INSPECTION FINDING & REMEDIAL ACTION REPORT

753000F021290 7/1/1974 50 SHEETS PD ELC

CG-4769 CG-0922

DISTINGUISHED PUBLIC SERVICE AWARD CERTIFICATE

753001GF90007 7/1/2003 25 SHEETS PG SFLC

CG-4769A CG-0922

DISTINGUISHED PUBLIC SERVICE AWARD CITATION SHEET

8/1/2012 ADOBE

CG-4770 CG-0922

MERITORIOUS PUBLIC SERVICE AWARD CERTIFICATE

753000F025030 6/1/2003 25 SHEETS PG SFLC

CG-4770A CG-0922

MERITORIOUS PUBLIC SERVICE AWARD CITATION SHEET

1/1/2017 ADOBE

CG-4771 CG-0922

PUBLIC SERVICE COMMENDATION CERTIFICATE

753000F024970 7/1/2003 25 SHEETS PG SFLC

CG-4771A CG-0922

PUBLIC SERVICE COMMENDATION CITATION SHEET

8/1/2012 ADOBE

CG-4772 CG-0922

CERTIFICATE OF MERIT (10 x 13)

753000F024990 12/1/2005 25 SHEETS PG SFLC

As of: 11/1/2020


CG-4772A CG-0922

CERTIFICATE OF MERIT CITATION SHEET

8/1/2012 ADOBE

CG-4773 CG-0922

CERTIFICATE OF APPRECIATION

753000F025010 6/1/2003 25 SHEETS PG ELC

CG-4773A CG-0922

CERTIFICATE OF APPRECIATION CITATION SHEET

8/1/2012 ADOBE

CG-4773B CG-0922

CERTIFICATE OF APPRECIATION (AUX)


CG-4776 CG-45

MACHINERY INDEX AMENDMENT

753000F021270 5/1/1971 50 SHEETS PD ELC

CG-4777 NMC 753000F021500

SEAMAN DOCUMENTATION/SHIPPING COMMISSIONER ACTIVITY REPORT

6/1/1971 SHEET SH ELC

CG-4785 CG-01 753000F021550

QUARTERLY RECORD OF STATISTICAL SAMPLING IN VOUCHER EXAMINATION

2/1/1986 SHEET SH ELC

CG-4786 CG-84

CONTROL CHART FOR VOUCHER ERROR RATES FISCAL YEAR QUARTERS

3/1/2020 SA ADOBE

CG-4788 G-APO

CONTRACT FILE CONTENT CHECKLIST - PRE-AWARD CONTRACT FILE

3/1/2020 ADOBE

CG-4796A CG-SAR

AMVER MESSAGE FORM

9/1/1992 SHEET SH AMVER

CG-4796B CG-SAR

AMVER SAR "Q"

9/1/1992 SHEET SH AMVER

CG-4804 CG-BSX-2

USCG AGREEMENT (FEDERAL BOAT SAFETY ACT OF 1971)

11/1/1978 SHEET SH G-OPB

CG-4805 CG-BSX-2

AMENDMENT TO AGREEMENT

11/1/1978 SHEET SH G-OPB

CG-4809 CG-122 7/1/2004

CG CENTRAL PHYSICAL EVALUATION BOARD FINDINGS AND RECOMMENDATION DISPOSITION

ADOBE

CG-4810 CG-122

APPOINTMENT OF COUNSEL FOR CPEB EVALUEE

7/1/2004 ADOBE

CG-4815 CG-43

UNDERWATER BODY PAINT REPORT (PAINT PERFORMANCE)

2/1/2020 ADOBE

CG-4819

CLASSIFIED DOCUMENT CONTROL LOG

6/1/2004 ADOBE

CG-4832 CG-MLE-2

EVIDENCE TAG

753000F021900 7/1/1972 TAG EA SFLC

CG-4835 CG-122 753000F021910

ACKNOWLEDGEMENT OF GUARANTEED SCHOOL ASSIGNMENT


CG-4837 CG-2-CGIS

OBJECTIONABLE MATERIAL COVER SHEET

12/1/1994 SHEET EA CG-2-CGIS

As of: 11/1/2020


CG-4838 CG-45

FULL POWER TRIAL LOG SUMMARY - 378' WHEC

2/1/2020 SA ADOBE

CG-4842 CG-45

FULL POWER TRIAL LOG SUMMARY - 210' WMEC "B" CLASS

2/1/2020 ADOBE

CG-4843 CG-45

FULL POWER TRIAL LOG SUMMARY - 213' WMEC/WAGO

2/1/2020 SA ADOBE

CG-4844 CG-45

FULL POWER TRIAL LOG SUMMARY - 205' WMEC

6/1/2004 SA ADOBE

CG-4846 CG-45

FULL POWER TRIAL LOG SUMMARY - 82' WPB

6/1/2004 SA ADOBE

CG-4847 CG-45

FULL POWER TRIAL LOG SUMMARY - 157' WLM

6/1/2004 SA ADOBE

CG-4854 CG-842

DOT, USCG DECAL

753000F021970 8/1/1972 DECAL EA ELC

CG-4865 NMC 753000F022070

LICENSE TO OPERATOR OF UNINSPECTED TOWING VESSEL (ACCOUNTBLE FORM)

9/1/1972 HD ELC

CG-4865 PAS NMC

PRIVACY ACT STATEMENT FOR CG-4865

753001GF26860 10/1/1975 SHEET SH ELC

CG-4874 CG-452

CUTTER ENGINEERING REPORT (FOR ASSETS NOT ENROLLED IN EAL AND ACMS)

11/1/2012 ADOBE

CG-4874A CG-452

CUTTER ENGINEERING REPORT (For Assets Enrolled in EAL and ACMS)

11/1/2012 ADOBE

CG-4876 G-MRP

DIVE REPORT

4/1/1980 ADOBE

CG-4882 CG-122

PERSONNEL ACTIONS TRANSMITTAL

4/1/1980 3PT SE (CFF) FY SDA II APPL

CG-4886 CG-BSX

AUXILIARY OPERATIONAL SPECIALTY COURSE EXAMINATION ANSWER SHEET

11/1/1976 50 CARDS FY ANSC

CG-4886A CG-BSX

AUXILIARY OPERATIONAL SPECIALTY COURSE EXAMINATION SHEET

2/1/1984 CARD CD G-PCX

CG-4887 CG-BSX 6/1/2004

AUXILIARY OPERATIONAL SPECIALTY COURSE EXAMINATION REQUEST/TRANSMITTAL FORM

SA ADOBE

CG-4891 CGRC-ACC

STATEMENT OF FINANCIAL OBLIGATIONS/SPOUSE'S CONSENT

3/1/2020 ADOBE

CG-4891 PAS CG-122


753001GF26880 10/1/1975 SHEET SH ELC

CG-4892A CG-BSX

CERTIFICATE OF APPOINTMENT (AUX)


CG-4894 CG-1333

OFF-BASE HOUSING APPLICATION

6/1/2004 ADOBE

As of: 11/1/2020

Form_Number

CG-4895

CG-4896

CG-4898

CG-4899

CG-4900

CG-4900A

CG-4900B

CG-4900C

CG-4901

CG-4902

CG-4903

CG-4904

CG-4905

CG-4906

CG-4907

CG-4908

CG-4908A

CG-4908B

CG-4910


CG-1333 8/1/1973

AGREEMENT FOR OCCUPANCY OF SPACE FOR PRIVATELY OWNED MOBILE HOME ON CG PROPERTY

CG-1333

AGREEMENT FOR CIVILIAN OCCUPANCY OF CG FAMILY HOUSING

8/1/1973 SHEET SH

CG-1333

FAMILY HOUSING FURNITURE INVENTORY

8/1/1973 SHEET SH

CG-1121

REPORT OF POTENTIAL THIRD PARTY LIABILITY

6/1/2004

CG-81

COMPREHENSIVE PLAN - COVER SHEET

6/1/2004

CG-81

COMPREHENSIVE PLAN - BACKGROUND/PREMISES

6/1/2004

CG-81

COMPREHENSIVE PLAN - JUSTIFICATION OF NEED

6/1/2004

CG-81

COMPREHENSIVE PLAN - SUMMARY OF PLANNING PROPOSALS

3/1/2004

CG-1111

MEAL SIGN-IN-SHEET

3/1/2020

CG-631

PERSONNEL DATA EXTRACT

1/1/2000

CG-112

CG EMPLOYEE HAZARD REPORT FORM

3/1/2020

CG-121

COMMANDER'S AWARD FOR SUSTAINED EXCELLENCE IN THE FEDERAL SERVICE

2/1/2004

CG-113

USCG HAZARDOUS CONDITIONS LOG

6/1/2004

CG-122 5/1/1991 SHEET

STATEMENT OF UNDERSTANDING OF CONDITIONS FOR SEPARATION FOR CARE OF NEWBORN CHILDREN

SH

CG-BSX-2

U.S. RECREATIONAL VESSEL FEE (RVP) - DECAL REQUEST

5/1/1991 CARD CD

CG-113

LOG OF INSPECTION AND TESTS BY COMPETENT PERSON

6/1/1991 SH

CG-112

COLD WORK ENTRY PERMIT

9/1/1991

CG-113

HOT WORK ENTRY PERMIT

9/1/1991

CG-LMJ 8/1/2018

REPORT OF OFFENSE AND DISPOSITION AND RECORD OF NON-JUDICIAL PUNISHMENT

Stock_Point

ADOBE

CG-122

CG-122

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

DIRECT AC

ADOBE

ADOBE

ADOBE

LOCAL REP

G-OPB

LOCAL REP

ADOBE

LOCAL REP

ADOBE

CG-4911 CG-5R 753000F022480 2/1/1982 CARDS CD ELC

ADVANCE ORDERS FOR MOBILIZATION

As of: 11/1/2020


CG-4914 CG-61

USCG MEMORANDUM (STATIONERY)

10/1/1981 ADOBE

CG-4916 CG-122

ACTIVE DUTY INITIAL INFORMATION FORM

753001GF28960 7/1/1979 5 PT SE SE SDAII

CG-4917 CG-BSX-2

DEFECT/NON-COMPLIANCE REPORT

10/1/2015 ADOBE

CG-4918 CG-BSX-2

CAMPAIGN UPDATE REPORT

10/1/2015 ADOBE

CG-4920 CG-1121

EVALUEE'S STATEMENT REGARDING THE FINDINGS OF THE MEDICAL BOARD

4/1/2020 ADOBE

CG-4921 CG-112

OUTPATIENT MEDICATION PROFILE

753000F022490 3/1/1981 SHEET SH ELC

CG-4940 CG-11

SURF REQUISITION LOG

3/1/2020 ADOBE

CG-4947 CG-BSX

AUXILIARY MISSION MAN-HOUR REPORT

7/1/1981 100 3PT SE HD ANSC

CG-4948 CG-BSX

AUXILIARY CHANGE OF MEMEBER INFORMATION CARD

9/1/1978 100 CARDS HD ANSC

CG-4949 CG-BSX

AUXILIARY CHANGE OF STATUS OF QUALIFICATION CARD


CG-4951 CG-BSX

AUXILIARY VESSEL FACILITY INSPECTION CHECK-OFF LIST


CG-4952 CG-BSX

AUXILIARY PUBLIC RELATIONS REPORT

4/1/1978 100 3PT SE HD ANSC

CG-4953 CG-BSX

AUXILIARY UNIT RECORD INPUT CARD


CG-4954 CG-BSX

AUXILIARY COURSE COMPLETION REPORT

753000F022700 3/1/1982 100 3PT SE HD ANSC

CG-4955 CG-BSX

AUXILIARY GENERAL RECORD CORRECTION CARD

5/1/1981 CARD CD ANSC

CG-4956 CG-103

UNIFORM CERTIFICATION PROGRAM CERTIFICATE

6/1/1987 CERTIFICAT EA G-WPX

CG-4965 CG-133

REQUEST FOR DETERMINATION OF ELIGIBILITY FOR ENLISTMENT

3/1/2020 ADOBE

CG-4971 CG-1111

CUSTODIANS COUNT OF CASH ON HAND

3/1/2020 ADOBE

CG-4984 CG-103

CG EXCHANGE SALES SLIP

753000F024950 4/1/1974 100 SHEETS PD ELC

CG-4984 PAS CG-103


753001GF26910 4/1/1974 SHEET SH ELC

As of: 11/1/2020


CG-4986 PSC

CERTIFICATE OF ENLISTMENT

753000F024820 4/1/1974 CERTIFICAT EA ELC

CG-4995 CG-BSX

USCG AUXILIARY PERSONNEL RECORD

6/1/1975 FOLDER EA ANSC

CG-5000 CG-DCO-A

OFFICIAL NON-OPERATIONAL FOREIGN TRAVEL APPROVAL FORM

1/1/2015 ADOBE

CG-5000A CG-CI

MILITARY MEMBER NON-OFFICIAL/LEAVE FOREIGN TRAVEL AUTHORIZATION

7/1/2019 ADOBE

CG-5001 CGPC-opm

CORRECTION OF REGISTER OF OFFICERS OF THE USCG

3/1/2020 ADOBE

CG-5002A CG-MLE

OFFENSE INVESTIGATION REPORT (SUPPLEMENT)

753001GF28990 4/1/1979 BOOK BK ELC

CG-5009 CG-83

REQUEST FOR ADP SUPPORT - PERSONAL PROPERTY

3/1/2020 AH ADOBE

CG-5009A CG-83

ALLOWANCE RECORD - PERSONAL PROPERTY

3/1/2020 ADOBE

CG-5009B CG-83

DETAIL RECORD - PERSONAL PROPERTY

3/1/2020 ADOBE

CG-5017 CG-103

MORALE FUND ACCOUNTING SHEET

3/1/2020 ADOBE

CG-5020 CG-112

MERIT AWARD IN SAFETY CERTIFICATE

12/1/1974 SHEET SH G-WKH

CG-5027 CG-132

ACTIVE DUTY TRAINING EVALUATION FORM

3/1/2020 ADOBE

CG-5030 PSC-rpm

CORRECTION OR REGISTER OF RESERVE OFFICERS

5/1/1979 SHEET SH PSC-rpm

CG-5031 CG-121

HIGH POTENTIAL ASSESSMENT PART I AND PART II

3/1/1975 SHEET SH G-WPC

CG-5033 CG-133

MONETARY CHANGE NOTICE FOR RETIRED PAY

7/1/1982 2 PT MAILER SE CG-122

CG-5040 CG-432

MARINE ENVIRONMENTAL PROTECTION EQUIPMENT ALTERATION APPROVAL

2/1/2020 ADOBE

CG-5044 CG-86

AUTHORITY FOR BACKGROUND INVESTIGATION

4/1/1976 ADOBE

CG-5056 CG-122

A FRAME/LITERATURE RACK RECORD

753001GF25290 8/1/1975 SHEET SH ELC

CG-5057 CG-133

SCHOOL HISTORY RECORD

3/1/2020 ADOBE

CG-5058 CG-133

CIVIC GROUP - ORGANIZATION HISTORY RECORD

3/1/2020 ADOBE

As of: 11/1/2020


CG-5059 CG-133 3/1/2020 ADOBE

MEDIA HISTORY RECORD

CG-5061 CG-124

CIVILIAN SERVICE COMMENDATION MEDAL CERTIFICATE

CG-5063 CG-731 11/1/2019 SA ADOBE

BOAT CREWMEMBER CERTIFICATE

CG-5063A CG-731 4/1/2020 SA ADOBE

ATON CREW MEMBER CERTIFICATE

CG-5063B CG-731 4/1/2020 SA ADOBE

BOOM/CRANE OPERATOR CERTIFICATE

CG-5063C CG-731 4/1/2020 ADOBE

BUOY DECK SUPERVISOR CERTIFICATE

CG-5063D CG-731 11/1/2019 ADOBE

TACTICAL CREWMEMBER CERTIFICATE

CG-5063E CG-731 12/1/2012 ADOBE

PURSUIT CREWMEMBER CERTIFICATE

CG-5063F CG-731 9/1/2019 ADOBE

ENGINEER CERTIFICATE

CG-5063G CG-731 9/1/2019 ADOBE

COXSWAIN CERTIFICATE

CG-5063H CG-731 9/1/2019 ADOBE

ATON COXSWAIN CERTIFICATE

CG-5063I CG-751 9/1/2019 ADOBE

TACTICAL COXSWAIN CERTIFICATE

CG-5063J CG-731 9/1/2019 ADOBE

PURSUIT COXSWAIN CERTIFICATE

CG-5063K CG-751 9/1/2019 ADOBE

HEAVY WEATHER COXSWAIN CERTIFICATE

CG-5063L CG-731 12/1/2012 ADOBE

SURFMAN CERTIFICATE

CG-5064 CG-751 6/1/2004 ADOBE

CUTTERMAN'S CERTIFICATE

CG-5065 CG-751 9/1/2019 ADOBE

COMMAND AT SEA CERTIFICATE

CG-5066 CG-731 12/1/2019 ADOBE

OFFICER-IN-CHARGE AFLOAT CERTIFICATE

CG-5066A CG-7311 12/1/2019 ADOBE

OFFICER IN CHARGE ASHORE CERTIFICATE

CG-5067 CG-7311 12/1/2019 ADOBE

BOAT FORCE OPERATIONS INSIGNIA CERTIFICATE (ADVANCED)

As of: 11/1/2020

Form_Number

CG-5068

CG-5069

CG-5070

CG-5071

CG-5073

CG-5080

CG-5082

CG-5084

CG-5093

CG-5096

CG-5100

CG-5100-1

CG-5100A

CG-5100B

CG-5101

CG-5102

CG-5104

CG-5105

CG-5107

CG-5108


CG-7311 1/1/2020 ADOBE

BOAT FORCE OPERATIONS INSIGNIA CERTIFICATE (BASIC)

CG-43 753001GF25360 5/1/1990 SH SH ELC

SHORE FACILITIES AC&I DATA SHEET

CG-CPE 3/1/1976 DECAL EA G-RPE

REPORT OIL OR CHEMICAL SPILL TO THE CG (DECAL STICKER)

CG-41 9/1/1975 CARD CD AR & SC

AVIATION ELECTRONICS MAINTENANCE RECORD SUPPLEMENT

CG-6P 6/1/2004 ADOBE

PRIVACY ACT LOG

CG-83 6/1/2004 ADOBE

SMALL/SMALL DISADVANTAGED BUSINESS SURPLUS REVIEW FORM

CG-113 6/1/2004 ADOBE

HAZARDOUS CONDITION NOTIFICATION

CG-122 1/1/2000 ADOBE

(PAS) USCG ENTRANCE/APPLICATION AND ADP RECORDS (POSTER)

CG-BSX-2 3/1/2020 ADOBE

MANUFACTURER ID SYSTEM (MIC)/MAILING LABEL SYSTEM (MLS) CODING SHEET

CG-BSX-2 3/1/1988 100 3PT SE HD CUSTOMS

IMPORTATION OF RECREATIONAL BOATS AND PRODUCTS SUBJEC TO CUSTOMS

CG-112 9/1/2019 ADOBE

US COAST GUARD DECLARATION OF HEALTH

CG-112 9/1/2019 ADOBE

COAST GUARD LASER CLASS 3B & 4 MEDICAL SURVEILLANCE FORM

CG-112 9/1/2019 ADOBE

NOTIFICATION OF 30 DAY EXTENSION OF SHIP SANITATION EXEMPTION CONTROL CERTIFICATE

CG-112 9/1/2019 ADOBE

US COAST GUARD SHIPBOARD SANITATION CONTROL EXEMPTION/SHIP SANITATION CONTROL CERTIFICATE

CG-103 6/1/1976 ADOBE

LAY AWAY TICKET

PPC 2/1/2010 ADOBE

OFFICER UNIFORM ALLOWANCE CLAIM WORKSHEET

CG-133 8/1/1976 SHEET SH G-WPM

STUDENT RECORD

NVDC 5/1/1982 SHEET SH NVDC

MONTHLY REPORT OF VESSEL DOCUMENTATION TRANSACTIONS

CG-1333 10/1/1990 SHEET SH LOCAL REP

QUARTERLY REPORT OF LEASED HOUSING ACTIVITY

3/1/2020 ADOBE

ANNUAL REPORT ON FACILITIES HANDLING CARGOES OF PARTICULAR HAZARD

As of: 11/1/2020

Form_Number

CG-5109

CG-5113

CG-5117

CG-5120

CG-5122

CG-5131

CG-5131A

CG-5132

CG-5132-1

CG-5136

CG-5136A

CG-5136A-E

CG-5136B

CG-5136C

CG-5136D

CG-5136E

CG-5136E-1

CG-5136E-2

CG-5136E-3


CG-41 2/1/2020 ADOBE

LIFE PRESERVER/SURVIVAL VEST CALENDAR INSPECTION CHECK-OFF FORM

CG-3841

DISTRICT REVIEW BOARD EVALUATION AND REPORTING FORM

CG-MLE

SEIZED PROPERTY TAG

CG-2-CGIS

USCG INTELLIGENCE INFORMATION REPORT

G-MRP

SUGGESTION FOR IMPROVING THE MARINE SAFETY MANUAL

CGPC

STANDARD TRAVEL ORDER FOR MILITARY PERSONNEL

CG-5R

NON-CONSECUTIVE ACTIVE DUTY ENLISTMENT

CG-BSX

CG AUXILIARY PATROL ORDER

CG-BSX

CG AUXILIARY PATROL ORDER CONTINUATION SHEET

CG-CPE

POLLUTION CONTROL CONTRACTORS DAILY REPORT

NPFC

POLLUTION INCIDENT DAILY RESOURCE REPORT

NPFC


NPFC

3/1/2020 ADOBE

753001GF25790 3/1/1977 TAG EA SFLC

753001GF29050 4/1/1977 SH SH ELC

10/1/1984 CARD CD G-MRP

3/1/2020 ADOBE

7/1/1998 ADOBE

3/1/2020 ADOBE

3/1/2020 SA ADOBE

753001GF26000 11/1/1977 4 PT SE SE ELC

6/1/2004

1/1/1993 SH LOCAL REP

6/1/2004

POLLUTION INCIDENT DAILY RESOURCE REPORT (GOVERNMENT PERSONNEL)

NPFC 6/1/2004

POLLUTION INCIDENT DAILY REPORT - (GOVERNMENT EQUIPMENT)

NPFC 6/1/2004

POLLUTION INCIDENT DAILY RESOURCE REPORT (GOVERNMENT PURCHASES/EXPENDABLES/TRAVEL ORDERS/CONTRACTORS)

NPFC 6/1/2004

POLLUTION INCIDENT DAILY RESOURCE REPORT (GOVERNMENT SHORT FORM)

NPFC 5/1/2020 ADOBE

POLLUTION INCIDENT DAILY RESOURCE REPORT (CONTRACTOR PERSONNEL)

NPFC 3/1/2020 ADOBE

POLLUTION INCIDENT DAILY RESOURCE REPORT (CONTRACTOR EQUIPMENT)

NPFC 3/1/2020 ADOBE

POLLUTION INCIDENT DAILY RESOURCE REPORT (CONTRACTOR/SUBCONTRACTOR MATERIALS/OTHER EXPENSES)

CG-5136E-4 NPFC 3/1/2020 ADOBE

POLLUTION INCIDENT DAILY RESOURCE REPORT (CONTRACTOR/SHORT FORM)

As of: 11/1/2020


CG-5136F NPFC

ENVIRONMENTAL RESPONSE CEILING MANAGEMENT

6/1/2004

CG-5136F-1 NPFC


6/1/2004

CG-5139 CG-113

SOUND LEVEL SURVEY

6/1/2004 SA ADOBE

CG-5140 CG-112

AUDIOMETRIC BIOLOGIC CALIBRATION CHECK

6/1/2004 ADOBE

CG-5141A CG-113

CAUTION - HAZARDOUS NOISE

753001GF28320 1/1/1979 LABEL EA ELC

CG-5141B CG-113

CAUTION - HEARING PROTECTION REQUIRED

753001GF28330 1/1/1979 DECAL EA ELC

CG-5145 CG-112

FOOD SERVICE ESTABLISHMENT INSPECTION REPORT FORM

4/1/2020 ADOBE

CG-5145B CG-112

HEAT STRESS MONITORING WORKSHEET

4/1/2020 ADOBE

CG-5147 CG-751

PERSONNEL QUALIFICATION STANDARD FEEDBACK SHEET

2/1/1978 SHEET SH G-RCU

CG-5148 CG-ENG-5

CERTIFICATE OF FITNESS FOR THE CARRIAGE OF LIQUEFIED GASES IN BULK

5/1/2020 CERTIFICAT ADOBE

CG-5148A CG-CVC-1 5/1/2012

CERTIFICATE OF FITNESS FOR THE CARRIAGE OF DANGEROUS CHEMICALS IN BULK

CERTIFICAT ADOBE

CG-5148B CG-CVC-1 5/1/2012

INTERNATIONAL CERTIFICATE OF FITNESS FOR THE CARRIAGE OF DANGEROUS CHEMICALS IN BULK

ADOBE

CG-5148C CG-CVC-1

CERTIFICATE OF FITNESS

5/1/2020 ADOBE

CG-5150 CG-1332

CIVILIAN CLOTHING ALLOWANCE WORKSHEET

8/1/2015 ADOBE

CG-5155 CG-41

COAST GUARD TECHNICAL ORDER/PUBLICATIONS REQUIREMENT TABLE

2/1/2020 SA ADOBE

CG-5155A PPC

ENLISTED SUPPLEMENTARY CLOTHING ALLOWANCE WORKSHEET

2/1/2010 ADOBE

CG-5163 CG-BSX

AUXILIARY SEMINAR ATTENDANCE REPORT

7/1/1978 50 2PT SE FY ANSC

CG-5164 NMC 753001GF28420

MERCHANT MARINE EXAMINATION QUESTION SELECTION/ANSWER SHEET

3/1/1987 100 SHEETS HD ELC

CG-5168 CG-MLE 753001GF28580

BASIC LAW ENFORCEMENT AUTHORITY OF THE CG (CREDENTIAL CARD)


CG-5168A CG-MLE 753001GF28590

ADVICE TO SUSPECTS CIVILIAN & MILITARY (CREDENTIAL CARD)


As of: 11/1/2020


CG-5169 CG-NAV-1

CALOC PLOTTER PAPER FORM

753001GF28600 8/1/1978 SHEET SH ELC

CG-5175 CG-81

ENERGY CONSUMPTION REPORT

753001GF28830 8/1/1978 50 3PT SE FY ELC

CG-5179 CGPC-opm

BILLET DESCRIPTION INFORMATION

3/1/2020 ADOBE

CG-5180 CG-BSX

COURTESY EXAMINER SCHOOL APPLICATION

11/1/1978 PAMPHLET EA G-PCX

CG-5180A CG-BSX

USCG AUXILIARY INSTRUCTOR TRAINING SCHOOL APPLICATION

2/1/1979 PAMPHLET EA G-PCX

CG-5181 CG-41

CARRY FORWARD DISCREPANCIES

2/1/2020 ADOBE

CG-5185 CG-121

AVERAGE GS-GRADE REPORT

12/1/1978 SHEET SH G-WPC

CG-5186 CG-121

OCCUPATIONAL GRADE CONTROL REPORT

12/1/1978 SHEET SH CG-121

CG-5188 CG-2-CGIS

OVERDUE INVESTIGATIVE CASES

12/1/1978 ADOBE

CG-5190 CG-103

CGSE/MWR CASUALTY LIABILITY INSURANCE REPORT

6/1/2004 ADOBE

CG-5190A CG-103

CGES/MWR USCG PERSONNEL REPORT

4/1/1990 ADOBE

CG-5192 CG-NAV-1

LORAN-C 15 MINUTE AVERAGE GRAPH


CG-5195 CG-NAV-1

LORAN-C STATION LOG

6/1/2004 ADOBE

CG-5196

DEFENSIVE SECURITY BRIEFING

6/1/2004 ADOBE

CG-5197 CG-112

OCCUPATIONAL HEALTH SURVEILANCE QUESTIONNAIRE

3/1/2020 ADOBE

CG-5200 PSC

OFFICER UNIFORM ALLOWANCE CLAIM

1/1/2000 SDA II APPL

CG-5200.1 CG-MMS

PREVENTIVE/CORRECTIVE ACTION REQUEST/NONCONFORMITY REPORT

1/1/2019 ADOBE

CG-5200.2 CG-MMS

USCG MMS MPS (PREVENTION) AUDIT REPORT

11/1/2011 ADOBE

CG-5200A PSC

ETHNICITY AND RACE SELF-REPORTING WORKSHEET

2/1/2010 ADOBE

CG-5201 CG-MLE

ENFORCEMENT ACTION REPORT

753001GF28970 4/1/1979 BOOK BK ELC

As of: 11/1/2020


CG-5202 CG-MLE

OFFENSE INVESTIGATION REPORT

3/1/2020 ADOBE

CG-5202A CG-MLE

OFFENSE INVESTIGATION REPORT (SUPPLEMENT)

3/1/2020 ADOBE

CG-5205 NMC

LICENSE TO CHIEF ENGINEER (ACCOUNTABLE FORM)

753001GF29440 4/1/1979 BOOK BK ELC

CG-5206 NMC

LICENSE TO MASTER (ACCOUNTABLE FORM)

753001GF29450 4/1/1979 BOOK BK ELC

CG-5207 CG-5R

SELECTED RESERVE EDUCATIONAL ASSISTANCE ENROLLMENT VERIFICATION

4/1/1979 SHEET SH CG-1311

CG-5210 CG-CVC-1 11/1/1982 3PT SE SE

APPLICATION FOR OFFSHORE FACILITY CERTIFICATE OF FINANCIAL RESPONSIBILITY, OUTER CONTINENTAL SHELF

G-PCV

CG-5211 CG-112

USCG HEALTH CARE EQUIPMENT REQUEST

6/1/2019 ADOBE

CG-5211A CG-611

PRIVACY ACT DATA COVER SHEET

4/1/2014 ADOBE

CG-5213 CG-122

STATEMENT TO SUBSTANTIATE PAYMENT OF FSA

1/2/1900 SDA II APPL

CG-5214 DCMS-81

EMERGENCY MEDICAL TREATMENT REPORT (MEDEVAC REPORT)

6/1/2004 ADOBE

CG-5215 CG-612

DIRECTIVES AND PUBLICATIONS VALIDATION FORM

5/1/2020 ADOE

CG-5215A CG-612

DIRECTIVES AND PUBLICATION VALIDATION FORM

7/1/2020 ADOBE

CG-5216 CG-NAV-1

AID POSITIONING RECORD

6/1/2004 COMP GEN

CG-5218 CG-121

USCG UPWARD MOBILITY PROGRAM - VACANCY ANNOUNCEMENT

8/1/1979 3PT SE SE G-WPC

CG-5218A CG-12 8/1/1979

USCG UPWARD MOBILITY PROGRAM - SUPERVISOR EVALUATION FOR CAREER POTENTIAL

3PT SE SE G-WPC

CG-5218B CG-121

USCG UPWARD MOBILITY PROGRAM - SELF-EVALUATION FORM

8/1/1979 3PT SE SE CG-121

CG-5218C CG-121

USCG UPWARD MOBILITY PROGRAM - SUPPLEMENTAL APPLICATION

8/1/1979 3PT SE SE CG-121

CG-5218D CG-121

USCG UPWARD MOBILITY TRAINING PROGRAM - TRAINEE APPRAISAL

8/1/1979 3PT SE SE CG-121

CG-5218E CG-121

USCG UPWARD MOBILITY PROGRAM - EVALUATION OF TRAINING

8/1/1979 3PT SE SE CG-121

CG-5223 TQC

SHORT-TERM RESIDENT TRAINING REQUEST

6/1/2004 DIRECT AC

As of: 11/1/2020

Form_Number

CG-5223A

CG-5225

CG-5227

CG-5227-1

CG-5227-2

CG-5227-3

CG-5227B

CG-5227C

CG-5228

CG-5228A

CG-5228B

CG-5229

CG-5230

CG-5231

CG-5232

CG-5233

CG-5234

CG-5235

CG-5236

CG-5237


CGIS

CONSENT TO UNDERGO PERSONNEL SECURITY SCREENING POLYGRAPH EXAM

2/1/2012

CG-133

TAX INFORMATION FORM

1/2/1900

CG-103

CG EXCHANGE SYSTEM BUDGET WORKSHEET

12/1/1989

CG-103 10/1/1980

USCG NON-APPROPRIATED FUND ACTIVITIES - QUARTERLY SALES FORECAST WORKSHEET

SH

CG-103 753001GF29550 10/1/1980 SHEET

USCG NON-APPROPRIATED FUND ACTIVITIES - QUARTERLY PERSONNEL EXPENSE WORKSHEET

SH

CG-103 10/1/1980

USCG NON-APPROPRIATED FUND ACTIVITIES - QUARTERLY WORKSHEET - OTHER DIRECT EXPENSES

SH

CG-103 9/1/1980

USCG NON-APPROPRIATED FUND ACTIVITIES - QUARTERLY WORKSHEET - OTHER INDIRECT EXPENSES

CG-103

USCG NON-APPROPRIATED FUND ACTIVITIES - PRO-FORMA FUNDS STATEMENT

12/1/1989

CG-103

COAST GUARD EXCHANGE SYSTEM INCOME STATEMENT

6/1/2004

CG-103

COAST GUARD EXCHANGE SYSTEM BALANCE SHEET

6/1/2004

CG-103

SUPPLEMENTARY FINANCIAL INFORMATION

12/1/1989

CG-133

STATEMENT OF INTENT

1/2/1900

CG-133

PAYMENT OPTION ELECTION

1/2/1900

CG-103

DIRECT DEPOSIT NET PAY ADVICE

1/1/1991

CG-BSX

VESSEL SAFETY CHECK ACTION INFORMATION NOTIFICATION

6/1/2004 SA

CG-64

WIRELESS MOBILE DEVICE USER AGREEMENT

8/1/2017 AH

CG-BSX

CG AUXILIARY MARINE DEALER VISITATION PROGRAM CERTIFICATE


CG-BSX-2

SKIPPER'S COURSE CERTIFICATE


CG-643

USCG SERVICEABLE/UNSERVICEABLE MATERIAL TAG

753001GF29270 1/1/1980 TAG EA

CG-7311

USCG OFFICER-IN-CHARGE ASHORE

753001GF29370 12/1/2012 CERTIFICAT EA

Stock_Point

SDA II APPL

ADOBE

ADOBE

ELC

ELC

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

SDA II APPL

SDA II APPL

COMP GEN

ADOBE

ADOBE

ANSC

G-OPB

ELC

ADOBE

As of: 11/1/2020


CG-5237A CG-7311

USCG OFFICER-IN-CHARGE AFLOAT

12/1/2012 EA ELC

CG-5240 CG-113

CERTIFICATE OF ACCOMPLISHMENT

5/1/1980 CERTIFICAT EA CG-113

CG-5240A CG-45

INDUSTRIAL CAPITALIZATION REQUEST FORM

2/1/2020 ADOBE

CG-5242 CG-113

CERTIFIED AUDIOMETRIC BOOTH DECAL

753001GF25930 7/1/1977 DECAL EA ELC

CG-5251 CG-BSX

MARINE DEALER VISITATION PROGRAM


CG-5252A CG-BSX

AUXILIARY MEMBERSHIP SERVICE AWARD (5 YRS)


CG-5252B CG-BSX

AUXILIARY MEMBERSHIP SERVICE (10 YRS)


CG-5252C CG-BSX-1

AUXILIARY MEMBERSHIP SERVICE AWARD (15 YEARS)

7/1/1996 EA ANSC

CG-5252D CG-BSX-1


7/1/1996 EA ANSC

CG-5252E CG-BSX-1


7/1/1996 EA ANSC

CG-5252F CG-BSX-1


7/1/1996 EA ANSC

CG-5252G CG-BSX-1


7/1/1996 EA ANSC

CG-5252H CG-BSX-1


7/1/1996 EA ANSC

CG-5252I CG-BSX-1


7/1/1996 EA ANSC

CG-5256 CG-CVC-1

SMALL PASSENGER VESSEL CERTIFICATION STICKER

753001GF28620 1/1/2004 DECAL EA ELC

CG-5257 CG-122

COMMAND ASHORE CERTIFICATE


CG-5259 CG-SAR 753001GF29010

COURSE LOG IDENTIFIER/SEARCH PATTERN COMPUTER (PLOTTER DIAGRAM)

6/1/1979 DIAGRAM EA ELC

CG-5260 CG-611

PRIVACY IMPACT ASSESSMENT CONTACT INFORMATION

7/1/2004 LOCAL REP

CG-5260A CG-6P

PRIVACY INCIDENT REPORT

1/1/2020 ADOBE

CG-5262 LANT-25

BILATERAL REQUEST FOR INFORMATION (RFI)

1/1/2014

As of: 11/1/2020

Form_Number

CG-5263

CG-5266

CG-5267

CG-5267A

CG-5268

CG-5269

CG-5270

CG-5272

CG-5274

CG-5275

CG-5280

CG-5285

CG-5286

CG-5287

CG-5288

CG-5289

CG-5290

CG-5293

CG-5296

CG-5298


CG-BSX 7/1/1977 POSTER EA G-PCX

USCG AUXILIARY BOATING COURSES (AUX 103)

CG-1122 753001GF29690 11/1/1980 100 DECALS HD ELC

DRUG SENSITIVITY STICKER

CG-1223 1/1/2009 ADOBE

APPLICATION FOR ASSIGNMENT MILITARY HOUSING

CG-1333 5/1/1988 ADOBE

NOTIFICATION OF ASSIGNMENT TO AND TERMINATION OF CG HOUSING

CG-BSX 1/1/1984 100 CERT. PG ANSC

FLOTILLA MERITORIOUS ACHIEVEMENT AWARD

CG-844 10/1/2012 ADOBE

REPORT OF SURVEY

CG-103 2/1/1981 ADOBE

USCG NAFA HOURLY SALES ANALYSIS

CG-2-CGIS 753001GF30920 1/1/1984 SHEET SH ELC

MERIT PAY SYSTEM PERFORMANCE APPRAISAL RECORD

6/1/2004 ADOBE

PERSONNEL SECURITY RECORD

CG-132 753001GF30360 11/1/1987 SHEET SH CG-132

CG CHECK-OFF LIST FOR RESERVISTS

CG-121 753001GF29840 6/1/1981 FOLDER EA ELC

EMPLOYMENT FOLDER

G-OCS 753001GF29880 7/1/1981 FOLDER EA SFLC

USCG TRAINING RECORD

3/1/2020 ADOBE

CLASS "A" SCHOOL TRAINING REQUEST

CG-103 6/1/2004 ADOBE

COAST GUARD NON-APPROPRIATED FUND ACTIVITY, DISHONORED CHECK NOTIFICATION

CG-751 6/1/2004 ADOBE

WEEKLY TRAINING PLAN

CG-751 6/1/2004 ADOBE

DEPARTMENTAL TRAINING RECORD

CG-751 6/1/2004 ADOBE

RECORD OF DRILLS AND EXERCISES

CG-751 6/1/2004 ADOBE

UNIT TRAINING PLAN

G-APO 10/1/1981

PROPOSED AWARD OF CONTRACT OR GRANT

CG-103 6/1/2004 ADOBE

USCG NAFA - ACTIVITY/INDIVIDUAL DAILY RECONCILIATION

As of: 11/1/2020

Form_Number

CG-5299

CG-5300

CG-5301

CG-5302

CG-5303

CG-5304

CG-5305

CG-5305A

CG-5305B

CG-5305C

CG-5305D

CG-5305E

CG-5305F

CG-5305G

CG-5307

CG-5308

CG-5308A

CG-5308B

CG-5310A

OPR / Title Stock_Number Date U/D

CG-103 11/1/1981

USCG NAFA - CASH REGISTER ADJUSTMENT VOUCHER

CG-103 12/1/1989

USCG EXCHANGE SYSTEM - RECEIVING REPORT

CG-103 11/1/2003

USCG EXCHANGE SYSTEM - RETURN FOR CREDIT

CG-103 12/1/1989

USCG EXCHANGE SYSTEM - CANCELLATION ORDER

CG-103 6/1/2004

USCG EXCHANGE SYSTEM - MERCHANDISE TRANSFER FORM

CG-103 11/1/1981

USCG NAFA - OPEN TO BUY

CG-103 6/1/2004

USCG NAFA - MARKUP/MARKDOWN VOUCHER

CG-1331 10/1/2020

NAVAL ENGINEER OFFICER (CG-NEN-10) BONUS AGREEMENT

CG-1331 3/1/2020

AVIATION OFFICER BONUS AGREEMENT

CG-1331 3/1/2020

CYBER ENLISTED BONUS AGREEMENT

CG-1331 10/1/2020

C4IT-CYBER OFFICER BONUS AGREEMENT

CG-122 12/1/2019

CYBERSECURITY RETENTION INCENTIVE REQUEST FORM

CG-1331 10/1/2020

AFLOAT OFFICER (XO/DEPT. HEAD) BONUS AGREEMENT

CG-1331 10/1/2020

ENLISTEMENT BONUS: BOATSWAIN MATE RATING APPRENTICESHIP PROGRAM (CSTB BM-RAP)

CG-103 6/1/2004

USCG NAFA - REFUND VOUCHER

CGPC-opm-3 10/1/2006

OFFICER SUPPORT FORM (OSF)

CG-opm-3 4/1/2018

OFFICER SUPPORT FORM ()W2-W3, O2-O6)

CG-opm-3 4/1/2018

OFFICER SUPPORT FORM (W4, O1)

CGPC-OPM-3 7/1/2020

OFFICER EVALUATION REPORT (W2/W3/O3-O5)

U/I Stock_Point

PD ELC

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

Online

Online

ADOBE

CG-5310A (OL CGPC-opm-3 10/1/2006 ADOBE

OFFICER EVALUATION REPORT (W2 - 02)

As of: 11/1/2020


CG-5310B CGPC-OPM-3 7/1/2020 ADOBE

OFFICER EVALUATION REPORT (W4/O1/O2)

CG-5310B (OL CGPC-opm-3 10/1/2006 ADOBE

OFFICER EVALUATION REPORT (03 - 05)

CG-5310C CGPC-OPM-3 7/1/2020 ADOBE

OFFICER EVALUATION REPORT (O6)

CG-5310C (OL CGPC-opm-3 10/1/2006 ADOBE

OFFICER EVALUATION REPORT (06)

CG-5310D CGPC-opm-3 7/1/2020 ADOBE

OFFICER EVALUATION REPORT (OER) DUTY UNDERINSTRUCTION (DUINS)

CG-5310E CG-opm-3 7/1/2020 ADOBE

OFFICER EVALUATION REPORT: CONTINUITY

CG-5310F CG-opm-3 7/1/2020 ADOBE

OFFICER EVALUATION REPORT (OER) CONCURRENT (W2/W3/O3-O5)

CG-5310G CG-opm-3 7/1/2020 ADOBE

OFFICER EVALUATION REPORT (OER): CONCURRENT (W4/O1/O2)

CG-5310H CG-opm-3 7/1/2020 ADOBE

OFFICER EVALUATION REPORT (OER): CONCURRENT (O6)

CG-5310I CG-opm-3 6/1/2013 ADOBE

OFFICER EVALUATION REPORT (OER): CONCURRENT CWO and O2

CG-5310J CG-opm-3 6/1/2013 ADOBE

OFFICER EVALUATION REPORT (OER): CONCURRENT O3 TO O4

CG-5310K CG-opm-3 6/1/2013 ADOBE

OFFICER EVALUATION REPORT (OER): CONCURRENT O5

CG-5310L CG-opm-3 6/1/2013 ADOBE

OFFICER EVALUATION REPORT (OER): CONCURRENT O6

CG-5310V USCGA 4/1/2018 ADOBE

CADET EVALUATION REPORT WORKSHEET SWAB

CG-5310W USCGA 4/1/2018 ADOBE

CADET EVALUATION REPORT WORKSHEET 4/c CA DET

CG-5310X USCGA 4/1/2018 ADOBE

CADET EVALUATION REPORT WORKSHEET 3/c CADET

CG-5310Y USCGA 4/1/2018 ADOBE

CADET EVALUATION REPORT WORKSHEET 2/c CADET

CG-5310Z USCGA 4/1/2018 ADOBE

CADET EVALUATION REPORT (1/c)

CG-5311 CG-1B1 9/1/2019 ADOBE

REQUEST TO ASSIGN COMPETENCIES, EDUCATION, OR OFFICER SPECIALTY TO A POSITION

CG-5311A CG-1B1 9/1/2019 ADOBE

REQUEST TO CREATE, CHANGE OR INACTIVATE A COMPETENCY

As of: 11/1/2020

Form_Number

CG-5312

CG-5313

CG-5314

CG-5315

CG-5315A

CG-5315A (OL

CG-5315B

CG-5315B (OL

CG-5315C

CG-5315C (OL

CG-5315D

CG-5315D-NE

CG-5315E

CG-5317

CG-5319

CG-5319A

CG-5319B

CG-5322

CG-5323

OPR / Title Stock_Number

CGPC-opm-3

OFFICER EVALUATION REPORT (OER) LEVEL II

CGPC-opm-3

CAPTAIN OFFICER EVALUATION REPORT (OER)

CG-128

REPORT ON THE FITNESS OF ADMIRALS

CGPC-opm-3

COMMENTS

CGPC-OPM-3

REVIEWER COMMENTS (W2 - 02)

CGPC-OPM-3

REVIEWER COMMENTS (W2 - 02)

CGPC-OPM-3

REVIEWER COMMENTS (03, 04)

CGPC-opm-3

REVIEWER COMMENTS (03 - 05)

CGPC-OPM-3

REVIEWER COMMENTS (05)

CGPC-opm-3


CGPC-opm-3


CGPC opm-3


CG-opm-3

COMMENTS

CGPC-rpm

OER FOR RESERVE OFFICERS ON ADT, SADT, OR TEMAC

PSC

OFFICER SPECIALITY CODE APPLICATION - DELETION

PSC-opm-3

OFFICER SPECIALITY CODE APPLICATION - ADDITION

CG-PSC-OP

OFFICER SPECIALTY CODE APPLICATION - ADDITION SUBSPECIALTY

CG-43

PRELIMINARY ENERGY AUDIT FORM

CG-612

REQUEST FOR ALLOWANCE CHANGE

Date U/D

5/1/1992

5/1/1992

5/1/2020

2/1/2019

2/1/2009

10/1/2006

2/1/2009

10/1/2006

2/1/2009

10/1/2006

2/1/2009

10/1/2006

10/1/2013

3/1/1990

2/1/2012

6/1/2020

6/1/2020

2/1/2020

2/1/2014

U/I Stock_Point

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

CG-5324 CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL COVER SHEET

As of: 11/1/2020


CG-5324A CG-81 6/1/2004 SA ADOBE

PLANNING PROPOSAL - JUSTIFICATION OF NEED

CG-5324B CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL - BACKGROUND/PREMISES

CG-5324C CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL - MANDATORY STATEMENTS

CG-5324D CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL - SUMMARY OF ALTERNATIVES

CG-5324E CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL - ALTERNATIVE DEVELOPMENT

CG-5324F CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL - ECONOMIC ANALYSIS OF ALTERNATIVE

CG-5324G CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL - HUMAN RESOURCES

CG-5324H CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL - HUMAN RESOURCES (CONT'D)

CG-5324I CG-81 6/1/2004 ADOBE

PLANNING PROPOSAL - CONTINUATION SHEET

CG-5328(PGS CG-CVC 8/1/1982 SHEET SH LOCAL REP

FIELD ADMEASUREMENT WORKLOAD REPORT

CG-5330 CG-1212 7/1/2013 ADOBE

TELEWORK AGREEMENT

CG-5331 CG-45 2/1/2020 ADOBE

FULL POWER TRIAL LOG SUMMARY 270' WMEC "A" CLASS

CG-5332 G-OCA 8/1/1982 ADOBE

HH-3F EMERGENCY PROCEDURES

CG-5333 CG-43 8/1/1982 ADOBE

LIGHTHOUSE PMS FEEDBACK REPORT

CG-5334 CG-CVC-1 8/1/1982 CERTIFICAT EA G-PCV-2

MOBILE OFFSHORE DRILLING UNIT SAFETY CERTIFICATE

CG-5334A CG-CVC 9/1/1992 BOOK BK G-PCV

MOBILE OFFSHORE DRILLING UNIT SAFETY CERTIFICATE (1989)

CG-5338 CG-NAV-1 753001GF30500 10/1/1982 PLACARD EA ELC

RESCUE BASKET USAGE PLACARD

CG-5340 CG-113 10/1/1982 ADOBE

REPORT OF INSTRUCTIONAL ACTIVITIES FOR SAFETY AND OCCUPATIONAL HEALTH

CG-5343 NMC 753001GF30520 11/1/1982 CERTIFICAT EA ELC

INTERNATIONAL TONNAGE CERTIFICATE

CG-5348 CG-122 1/1/1983 SHEET SH LOCAL REP

DISTRICT ENLISTED DINING FACILITIES OPERATING STATEMENT SUMMARY

As of: 11/1/2020


CG-5350 CG-00H 3/1/2020 ADOBE

ANTI-HARASSMENT POLICY HATE INCIDENT REPORT FORM

CG-5351 CG-133 6/1/2006 LOCAL REP

CHANGE PROPOSAL - COAST GUARD LEADERSHIP PROGRAM

CG-5352 CG-CVC-1 5/1/2012 ADOBE

INTERNATIONAL OIL POLLUTION PREVENTION CERTIFICATE

CG-5352A CG-CVC-1 11/1/2016 ADOBE

INTERNATIONAL OIL POLLUTION PREVENTION CERTIFICATE/SUPPLEMENTS (FORM A)

CG-5352B CG-CVC-1 11/1/2016 ADOBE

INTERNATIONAL OIL POLLUTION PREVENTION CERTIFICATE/SUPPLEMENTS (FORM B)

CG-5353 CG-1122 1/1/2020 ADOBE

MONTHLY REPORT FOR NARCOTICS AND OTHER CONTROLLED DRUGS

CG-5354 CG-122 753001GF30590 4/1/1983 FOLDER EA ELC

PERSONNEL DATA RECORD (PDR) FOLDER

CG-5355 CG-711 753001GF30600 5/1/1983 50 CARDS FY ELC

HU-25A TOLD CARD

CG-5357 CG-128 3/1/2020 ADOBE

ENLISTED INDIVIDUAL DEVELOPMENT PLAN (IDP) COVER SHEET

CG-5357A CG-128 7/1/2020 ADOBE

EXECUTIVE DEVELOPMENT PLAN (EDP)

CG-5358 NPFC(cv) 6/1/1988 CERTIFICAT EA NPFC

CERTIFICATE OF FINANCIAL RESPONSIBILITY (OUTER CONTINENTAL SHELF)

CG-5358-1 NPFC(cv) 6/1/1988 5 PAGE SET SE NPFC

APPLICATION FOR CERTIFICATE OF FINANCIAL RESPONSIBILITY (OUTER CONTINENTAL SHELF)

CG-5358-10 NPFC(cv) 11/1/1991 DATA-MAILE EA NPFC

CERTIFICATE OF FINANCIAL RESPONSIBILITY (WATER POLLUTION)

CG-5358-11 NPFC(cv) 2/1/1984 SHEET SH NPFC

REQUEST FOR CERTIFICATE OF FINANCIAL RESPONSIBILITY (WATER POLLUTION)


INSURANCE FORM (OUTER CONTINENTAL SHELF)

CG-5358-2A NPFC(cv) 6/1/1983 SHEET SH NPFC

OIL DISCHARGE SURETY BOND FORM (OUTER CONTINENTAL SHELF)

CG-5358-2B NPFC(cv) 6/1/1983 SHEET SH NPFC

GUARANTY FORM (OUTER CONTINENTAL SHELF)

CG-5358-3 NPFC(cv) 6/1/1988 5 PAGE SET SE NPFC

APPLICATION FOR CERTIFICATE OF FINANCIAL RESPONSIBILITY (ALASKA PIPELINE)


INSURANCE FORM (ALASKA PIPELINE)

CG-5358-4A NPFC(cv) 6/1/1983 SHEET SH NPFC

SURETY BOND FORM (ALASKA PIPELINE)

As of: 11/1/2020


CG-5358-4B NPFC(cv)

GUARANTY FORM (ALASKA PIPELINE)

6/1/1983 SHEET SH NPFC

CG-5358-6 NPFC(cv)

CERTIFICATE OF FINANCIAL RESPONSIBILITY (ALASKA PIPELINE)

6/1/1988 CERTIFICAT EA NPFC

CG-5358-7 NPFC(cv)

FEE COMPUTATION SCHEDULE


CG-5358-8 NPFC(cv) 6/1/1983

APPLICATION FOR CERTIFICATE OF FINANCIAL RESPONSIBILITY (WATER POLLUTION)

SHEET SH NPFC

CG-5358-9 NPFC(cv)

INSURANCE FORM (WATER POLLUTION)


CG-5358-9A NPFC(cv)

MASTER INSURANCE FORM (WATER POLLUTION)


CG-5358-9B NPFC(cv) 6/1/1983

OIL AND HAZARDOUS SUBSTANCES DISCHARGE SURETY BOND FORM (WATER POLLUTION)

SHEET SH NPFC

CG-5358-9C NPFC 1/2/1900 SHEET

GUARANTY FORM IN RESPECT OF LIABILITY FOR DISCHARGE OF OIL, ETC. (WATER POLLUTION)

NPFC

CG-5358-9D NPFC(cv)

MASTER GUARANTY FORM (WATER POLLUTION)


CG-5358B NPFC(cv)

GUARANTY FORM (OUTER CONTINENTAL SHELF)


CG-5358C NPFC(cv) 6/1/1983

GUARANTY FORM IN RESPCET OF LIABILITY FOR DISCHARGE OF OIL, etc. (WATER POLLUTION)

SHEET SH NPFC

CG-5359 PSC-BOPS-C

CONFERENCE CARDS (TENT CARDS)

1/1/2000 CARD CD PSC-BOPS-

CG-5364 CG-41

HC-130 EMERGENCY PROCEDURES

753001GF30670 6/1/1983 CARD CD ELC

CG-5366 PSC

ARMED FORCES DECORATIONS AND AWARDS POSTER

8/1/1983 POSTER EA G-WPM

CG-5367 CG-44

VEHICLE UTILIZATION RECORD

6/1/2004 ADOBE

CG-5368 CG-43

MOTOR VEHICLE UTILIZATION REPORT

6/1/2004 ADOBE

CG-5370 CGPSC-EPM-

SEXUAL ASSAULT (SA) INCIDENT REPORT

2/1/2017 ADOBE

CG-5372 NMC

USCG CERTIFICATE OF APPROVAL

8/1/1984 CERTIFICAT EA NMC

CG-5373 CG-113

GET IT TOGETHER PLEDGE CARD

2/1/1984 CARD CD CG-113

CG-5374 CG-84 3/1/2020

RECOMMENDATION FOR AWARD FOR EXCELLENCE/CERTIFICATE OF RECOGNITION

ADOBE

As of: 11/1/2020


CG-5375 CG-82

COMPTROLLER CERTIFICATE OF RECOGNITION

753001GF30880 12/1/1983 CERTIFICAT EA ELC

CG-5376 CG-8

CHIEF FINANCIAL OFFICER CERTIFICATE OF RECOGNITION


CG-5379 CG-BSX

AUXILIARY BOAT CREWMAN CERTIFICATE


CG-5380 CG-BSX

AUXILIARY BOAT COXSWAIN CERTIFICATE


CG-5380A HSWL

SPECIAL NEEDS CASE DOCUMENTATION FORM

CG-5381 CG-BSX

AUXILIARY VESSEL OPERATOR CERTIFICATE


CG-5382 CG-711

AIRCREW TRAINING JACKET

2/1/1984 SHEET SH ATTC

CG-5384 CG-121

DOT, USCG CERTIFICATE OF RETIREMENT SERVICE

753001GF32360 2/1/1984 CERTIFICAT EA ELC

CG-5386 CG-1121

USCG INDUSTRIAL HYGIENE WORKPLACE MONITORING REPORT

6/1/2004 ADOBE

CG-5387 CG-11

U.S. DOT CREDIT CARD CONTROL SHEET


CG-5388 CG-711

HH-3F PASSENGER BRIEFING CARD


CG-5393 CG-711

TAKEOFF AND LANDING DATA CARD HH-3F

753001GF31010 7/1/1984 CARDS FY ELC

CG-5394 G-APO

CASHIER ACCOUNTABILITY REPORT

3/1/2020 ADOBE

CG-5396 CG-751

CG MISSION AREA FORMAL SCHOOL RECORD

6/1/2004

CG-5396A CG-751

NAVAL WARFARE MISSION AREA FORMAL SCHOOL RECORD

6/1/2004

CG-5396B CG-751

NAVAL WARFARE MISSION AREA CONDITION I & III PQS RECORD

6/1/2004

CG-5396C CG-751 6/1/2004

CG MISSION AREA CONDITION IV/V & OPERATIONAL/EMERGENCY BILL PQS RECORD

CG-5396D CG-751 6/1/2004

NAVAL WARFARE MISSION AREA CONDITION IV/V & OPERATIONAL/EMERGENCY BILL PQS RECORD

CG-5397 MSC

APPLICATION FOR SIMPLIFIED MEASUREMENT

10/1/2017 ADOBE

CG-5398 G-APO

ORDER FOR SUPPLIES OR SERVICES (CFF)

753001GF31080 10/1/1984 100 8PT SE HD ELC

As of: 11/1/2020


CG-5398A G-APO 753001GF31090 10/1/1984 100 8PT SE HD ELC

ORDER FOR SUPPLIES OR SERVICES SCHEDULE - CONTINUATION SHEET (CFF)


CERTIFICATION OF INTERNAL CONTROL REVIEW RESULTS

CG-5400A CG-81 1/1/1985 SHEET SH LOCAL REP

LIST OF EVENT CYCLES WITHIN PROGRAM AND ADMINISTRATIVE FUNCTIONS

CG-5400B CG-81 1/1/1985 SHEET SH LOCAL REP

LIST OF INTERNAL CONTROLS

CG-5400C CG-81 1/1/1985 SHEET SH LOCAL REP

TESTS OF INTERNAL CONTROLS

CG-5401 CG-FAC-2 8/1/1992 CERTIFICAT EA

CERTIFICATE OF ADEQUACY FOR RECEPTION FACILITIES (COA)

CG-5401A CG-FAC-2 4/1/2015 ADOBE

APPLICATION FOR CERTIFICATE OF ADEQUACY (COA) FOR RECEPTION FACILITIES - FORM A

CG-5401B CG-FAC-2 4/1/2015 ADOBE

APPLICATION FOR A RECEPTION FACILITY CERTIFICATE OF ADEQUACY (COA) FOR RECEPTION FACILITIES - FORM B

CG-5401C CG-FAC-2 4/1/2015 ADOBE

APPLICATION FOR A RECEPTION FACILITY CERTIFICATE OF ADEQUACY FOR GARBAGE - FORM C

CG-5401D CG-FAC-2 4/1/2015 ADOBE

APPLICATION FOR A RECEPTION FACILITY CERTIFICATE OF ADEQUACY FOR OZONE DEPLETION SUBSTANCES AND EXHAUST GAS

CG-5402 CG-CVC 5/1/1985 3 SHEETS SH LOCAL REP

CG ENFORCEMENT ACTIVITIES REPORT FOR DWP OFFSHORE PLATFORMS


SF-149 CREDIT CARD CONTROL SHEET

CG-5406 CG-11 11/1/1985 100 LABELS HD G-SRM

MAILING LABELS FOR USE BY CONTRACTORS

CG-5407 CG-103 5/1/1985 ADOBE

NOTIFICATION OF UNIFORM CLOTHING DEFECT


USCG AUXILIARY NATIONAL VESSEL EXAMINER SCHOOL CERTIFICATE

CG-5409A CG-BSX 11/1/1988 CERTIFICAT EA ANSC

USCG AUXILIARY NATIONAL INSTRUCTOR SCHOOL CERTIFICATE

CG-5409B CG-BSX 11/1/1988 CERTIFICAT EA ANSC

USCG AUXILIARY NATIONOAL OPERATIONS SCHOOL CERTIFICATE

CG-5409C CG-BSX 6/1/1985 CERTIFICAT EA G-PCX

USCG AUXILIARY STAFF INSTRUCTOR TRAINING CERTIFICATE

CG-5409D CG-BSX 5/1/1991 CERTIFICAT EA ANSC

USCG AUXILIARY A TO N AND CHART UPDATING SCHOOL CERTIFICATE

CG-5409E CG-BSX 1/1/1992 CERTIFICAT EA ANSC

USCG AUXILIARY NATIONAL CAREER CANDIDATE SCHOOL CERTIFICATE

As of: 11/1/2020


CG-5410 PSC-rpm

CERTIFICATE OF SERVICE (RESERVE)

11/1/1985 CERTIFICAT EA PSC-rpm

CG-5410A CG-ODO

STAFF TALKS TOPIC SUBMISSION FORM

5/1/2014 ADOBE

CG-5411 CG-5R

STATEMENT OF UNDERSTANDING (SELRES GI BILL)


CG-5412 CG-5R

TERMINATION/RECOUPMENT DATA (SELRES GI BILL)

6/1/2004 ADOBE

CG-5413 CG-5R

CONSOLIDATED REPORT OR READINESS EVALUATION


CG-5417 CG-11

ARMS MILSTRIP REQUISITIONING DOCUMENT


CG-5418 CG-83 6/1/2004

STATEMENT OF RECEIPT - ACCEPTANCE OR FOREIGN GIFTS TRAVEL/TRANSPORTATION

CG-5420 CG-01

PCS TRAVEL PREPAYMENT CONTROL FORM

753001GF30950 10/1/1985 FY ELC

CG-5421 CG-095

EDM AGENDA REQUEST FORM

4/1/2010

CG-5422 CG-132

APPLICATION FOR COAST GUARD NAPS PROGRAM

6/1/2004 ADOBE

CG-5423 CG-1333 1/2/1900

UNACCOMPANIED PERSONNEL HOUSING OCCUPANCY AND ADEQUACY ASSESSMENT

SHEET SH LOCAL REP

CG-5424 CG-1333

COAST GUARD VHA AND HOUSING PROGRAM DATA COLLECTION FORM

1/1/1986 4 SHEETS SH G-WPM

CG-5425 CG-122

VHA OFFSET COMPUTATION WORKSHEET

7/1/1987 ADOBE

CG-5426 CG-122

ALCOHOL-FREE DRIVING PLEDGE CARD

3/1/1986 CARD CD CG-122

CG-5427 CG-1333

UPH FURNISHINGS AND EQUIPMENT FUNDING REQUEST

6/1/2004 ADOBE

CG-5428 CG-CPE

REPORT OIL AND CHEMICAL SPILL BUMPER STICKER (DECAL)

2/1/1991 DECAL EA G-RPE

CG-5430 G-CQM

RISK ASSESSMENT SCORE SHEET


CG-5431 CG-00I

SEMI-ANNUAL TRAVEL PROJECTIONS SCHEDULE


CG-5432 CG-CVC-1

FIXED OCS FACILITY INSPECTION REPORT

6/1/2016 ADOBE

CG-5434 CG-00H

COMPLAINT OF DISCRIMINATION IN THE FEDERAL GOVERNMENT

3/1/2020 ADOBE

As of: 11/1/2020


CG-5435 CG-00H

COUNSELOR'S REPORT

3/1/2020 ADOBE

CG-5436 CG-1333

FIRE PROTECTION SYSTEMS EVALUATION FORM


CG-5437 CG-CVC-2

VESSEL BOARDING REPORT

753001GF31960 8/1/1986 3PT SE AH ELC

CG-5437A CG-CVC-2 753001GF90003 4/1/2020

U.S. COAST GUARD PORT STATE CONTROL REPORT OF INSPECTION FORM A (CG-5437A)

25 3 PT SE PD ADOBE

CG-5437B CG-CVC-2 753001GF90004

PORT STATE CONTROL REPORT OF INSPECTION - FORM B (CG-5437B)

4/1/2020 25 SHEETS PD ADOBE

CG-5438 CG-CVC-2

FOREIGN FREIGHT VESSEL EXAMINATION

753001GF31970 8/1/1966 BOOK BK ELC

CG-5439 CG-2-CGIS

COAST GUARD SECURITY ID BADGE - TOP SECRET (ORANGE)


CG-5439A CG-2-CGIS

COAST GUARD SECURITY ID BADGE (TOP SECRET/SENSITIVE COMPARTMENTED)


CG-5439B CG-2-CGIS

COAST GUARD SECURITY ID BADGE - SECRET (RED)


CG-5439C CG-2-CGIS

COAST GUARD SECURITY ID BADGE - CONFIDENTIAL (BLUE)


CG-5439D CG-2-CGIS

COAST GUARD SECURITY ID BADGE - UNCLEARED (GREEN)


CG-5439E CG-2-CGIS

COAST GUARD SECURITY ID BADGE - VISITOR (ALL FOUR COLORS)


CG-5440 CG-133

PILOT EXPERIENCE SHEET

3/1/2020 ADOBE

CG-5444 CG-81

CERTIFICATE OF RECOGNITION FOR THE BENEFICIAL SUGGESTION PROGRAM

9/1/1986 CERTIFICAT EA G-CPP

CG-5447 CG-113

HISTORY AND REPORT OF OMSEP EXAMINATION

3/1/2003 ADOBE

CG-5447A CG-1121

PERIODIC HISTORY AND REPORT OF OMSEP EXAMINATION

3/1/2003 ADOBE

CG-5448 CG-2-CGIS

COAST GUARD SECURITY BADGE RECORD


CG-5449 CG-112

MEDICAL ENVELOPE

9/1/1986 ENVELOPE EA CG-112

CG-5450 CG-0922

PUBLIC SERVICE AWARD FILLERS

753001GF32010 11/1/2008 CARD HD ELC

CG-5451 CG-642

PLANNED MAINTENANCE SYSTEM FEEDBACK REPORT (FBR)

3/1/2020 ADOBE

As of: 11/1/2020

Form_Number

CG-5452

CG-5453

CG-5454

CG-5455

CG-5456

CG-5457

CG-5458

CG-5460A

CG-5460B

CG-5461

CG-5466

CG-5467

CG-5471

CG-5473

CG-5473A

CG-5474

CG-5474(AUX

CG-5475

CG-5476

CG-5477


CG-643 3/1/2020

MONTHLY PMS SCHEDULE

CG-643 3/1/2020

ANNUAL PMS SCHEDULE

CG-643 3/1/2020

EQUIPMENT HISTORY

CG-64 11/1/1986 SHEET SH

INDEX OF MAINTENANCE PROCEDURE FORM (MPF)

CG-643 3/1/2020

MAINTENANCE PROCEDURE FORM (MPF)

CG-45 2/1/2020

FULL POWER TRIAL LOG SUMMARY 110' WPB

CG-122 12/1/1986

CACO CHECK-OFF INFORMATION SHEET

CG-1121 6/1/2004

STATUS PROFILE FORM

CG-11 6/1/2004

VISIT PROFILE FORM

CG-CVC-1 5/1/2020

INTERNATIONAL POLLUTION PREVENTION CERT. FOR THE CARRIAGE OF NOXIOUS LIQUID SUBSTANCE IN BULK

PSC 6/1/1987 3PT SE SE

APPLICATION FOR PARTICIPATION IN THE USCG RETIREMENT PLAN

CG-13 1/2/1900 SHEET SH

EXERCISE FUNDING PLAN

CG-43 2/1/2020

LEVEL "A" CHEMICAL RESPONSE SUIT TRACKING FORM

CG-11 6/1/2004

PANORAL RADIOGRAPH (PANOGRAPH) BATCH TRANSMITTAL FORM (ACTIVE DUTY)

CG-11 6/1/2004

PANORAL RADIOGRAPH (PANOGRAPH) (GUARD RESERVE)

CG-BSX 6/1/2004

USCG AUXILIARY AIDS TO NAVIGATION REPORT

CG-BSX 5/1/1995 50 5PT SE PG

AIDS TO NAVIGATION REPORT FORM

CG-133 10/1/1987 SHEET SH

PMIS/JUMPS CLOTHING AND SMALL STORES CHECKAGE

CG-2-CGIS 12/1/1994 SHEET SH

REPORT OF FRAUD INVESTIGATION

CG-2-CGIS 12/1/1994 SHEET SH

CGI INTERVIEW LOG

Stock_Point

ADOBE

ADOBE

ADOBE

G-SCE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

G-WPX

LOCAL REP

ADOBE

ADOBE

ADOBE

ADOBE

ANSC

G-WPM

LOCAL REP

LOCAL REP

As of: 11/1/2020

Form_Number

CG-5478

CG-5479

CG-5479A

CG-5480

CG-5481

CG-5481A

CG-5482

CG-5483

CG-5484

CG-5484A

CG-5484B

CG-5484C

CG-5484D

CG-5484E

CG-5484F

CG-5484G

CG-5484H

CG-5484I

CG-5485


PRIVACY ACT DISCLOSURE (DOT/CG-611)

6/1/2004 SA

CG-43

AUTOMOBILE COMMUTING USE REPORTING FORM (CONTROL EMPLOYEE)

6/1/2004

CG-43

AUTOMOBILE COMMUTING USE REPORTING FORM (REGULAR EMPLOYEE)

6/1/2004

CG-43

REAL PROPERTY BOARD OF SURVEY CHECK-IN-SHEET

2/1/2020

CGPC-rpm

RESERVE OFFICER PERSONNAL RESUME

3/1/2020

CG-13 3/1/1989 SHEET

STATEMENT OF UNDERSTANDING - READY RESERVE DIRECT COMMISSIONED OFFICERS PROGRAM

SH

CG-13

STATEMENT OF UNDERSTANDING MONTGOMERY GI BILL - SELECTED RESERVE

6/1/2004

CG-13

MGIB - SELECTED RESERVE ELIGIBILITY CHECKLIST

753001GF32170 10/1/1988 2 PT SE SE

CG-1112

CHILD DEVELOPMENT SERVICES REGISTRATION FORM

5/1/2020

CG-1112

CHILD DEVELOPMENT SERVICES CHILD HEALTH FORM

5/1/2020

CG-11

FIELD TRIP PERMISSION

5/1/2020

CG-1112

ANNUAL CHILD DEVELOPMENT CENTER REPORT

5/1/2020

CG-1112

QUARTERLY CHILD DEVELOPMENT CENTER REPORT

11/1/1989 SHEET SH

CG-1112

CHILD DEVELOPMENT CENTER FINANCIAL STATEMENT

11/1/1989 SHEET SH

CG-11

APPLICATION TO PROVIDE FAMILY CHILD CARE

5/1/2020

CG-11

FAMILY CHILD CARE INSPECTION CHECKLIST

4/1/1994 SH SH

CG-1112

CHILD DEVELOPMENT SERVICES MILITARY MEDICAL CONSENT AUTHORIZATION

5/1/2020

CG-1112

CHILD DEVELOPMENT SERVICES - CIVILIAN MEDICAL CONSENT AUTHORIZATION

5/1/2020

CG-11

MEDICATION PERMISSION

6/1/2004

Stock_Point

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

LOCAL REP

ADOBE

ELC

ADOBE

ADOBE

ADOBE

ADOBE

LOCAL REP

LOCAL REP

ADOBE

LOCAL REP

ADOBE

ADOBE

ADOBE

CG-5485A CG-11 6/1/2004 ADOBE

FAMILY CHILD CARE QUARTERLY REPORT

As of: 11/1/2020

Form_Number OPR / Title Stock_Number Date

CG-5485B CG-1112 5/1/2020

AUTHORIZATION FOR RELEASE OF INFORMATION

CG-5486 CG-11 5/1/2020

LOG OF MEDICATION GIVEN

CG-5487 CG-11 4/1/2020

MEMORANDUM OF UNDERSTANDING FOR VOLUNTEER SERVICE

CG-5488 CG-1111 6/1/2014

FAMILY ADVOCACY REPORT

CG-5489 CG-12 4/1/1988

WAIVER REMISSION APPLICATION

CG-5489-1 PPC 2/1/2010

REMISSION APPLICATION

CG-5489-2 PPC 9/1/2014

WAIVER APPLICATION

CG-5489A CG-12 4/1/1988

PERSRU'S ENDORSEMENT OF WAIVER/REMISSION APPLICATION

CG-5489B PSC 2/1/2020

FINANCIAL STATEMENT

CG-5490 CG-12 4/1/1988

CG PRIORITY PLACEMENT CONSIDERATION LOST REGISTRATION FORM

CG-5490A CG-12 4/1/1988

CG PRIORITY PLACEMENT CONSIDERATION LIST

CG-5490B CG-12 4/1/1988

CG JOB REFERRAL ASSISTANCE PROGRAM REGISTRATION

CG-5492 CGPC-rpm 6/1/1988

MEMBER STATEMENT CONCERNING DISCHARGE ACTION

CG-5492A CGPC-rpm 6/1/1988

CONSENT TO NOTIFICATION OF SPOUSE

CG-5493 CG-NAV-1 6/1/1988

USCG SURVEY REQUIREMENTS REPORT

CG-5494 CG-11 6/1/1988

CG SPECIAL NEEDS ENROLLMENT AND ASSESSMENT FORM

CG-5497 CG-81 7/1/1988

PRODUCTIVITY PROJECT PROPOSAL

CG-5498G G-A-1 7/1/1988

EVALUATION RATING

CG-5500 CG-13 8/1/1988

APPLICATION FOR A DIRECT COMMISSION FOR ACTIVE DUTY LAWYER, etc.

CG-5500A CG-62 7/1/2016

AUTOMATED INFORMATION SYSTEMS (AIS) USER ACKNOWLEDGEMENT FORM

U/D

SHEET

SH

SHEET

SHEET

SHEET

SHEET

SHEET

SHEET

SHEET

SHEET

SHEET

SHEET

U/I

SH

SH

SH

SH

SH

SH

SH

SH

SH

SH

SH

SH

Stock_Point

ADOBE

ADOBE

ADOBE

ADOBE

LOCAL REP

ADOBE

ADOBE

LOCAL REP

ADOBE

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

LOCAL REP

ADOBE

As of: 11/1/2020


CG-5500B CG-65 7/1/2017 ADOBE

INFORMATION/NETWORK SYSTEM PRIVILEGED ACCESS AGREEMENT AND USER ACCESS REQUEST

CG-5500C CG-651 2/1/2014

AUTOMATED INFORMATION SYSTEMS (AIS) ACKNOWLEDGEMENT (CG ACADEMY USE ONLY)

ADOBE

CG-5500D CG-621

CGONE CAC/SIPRNET TOKEN WAIVER REQUEST

12/1/2019 ADOBE

CG-5500E CG-651

INFORMATION/NETWORK SYSTEMS PRIVILEGED USER ACCESS REQUEST

7/1/2016 ADOBE

CG-5501 CG-11

REQUEST FOR AND CERTIFICATE OF ELIGIBILITY

6/1/2004 ADOBE

CG-5503 CG-711

CERTIFICATE OF COMPLETION - EMERGENCY MEDICAL SERVICES PROGRAM

9/1/1988 CERTIFICAT EA G-OAV

CG-5504 CG-13

CERTIFICATION OF IDT PERFORMED POST CARD

753001GF33080 1/1/1989 100 CARDS HD ELC

CG-5505 CG-BSX

USCG AUXILIARY GROUP ACTION AWARD CERTIFICATE


CG-5506 CG-BSX

AUXILIARY ACHIEVEMENT AWARD


CG-5506A CG-BSX

USCG AWARD OF MERIT CERTIFICATE

7/1/1990 100 CERT. PG G-PCX

CG-5507 CG-133

PMIS/JUMPS ENTITLEMENT VALIDATION

2/1/1989 COMP GEN

CG-5508 CG-12

APPLICATION FOR A DIRECT APPOINTMENT FOR INACTIVE DUTY AS A CWO


CG-5509 CG-11

ALCOHOL PROGRAM AFTERCARE QUESTIONNAIRE


CG-5510 CG-12

CG NAFA - UCFE EMPLOYEE SEPARATION FORM


CG-5510A CG-12

INVOICE FOR HQ CGES SERVICES


CG-5511 CG-13

STANDARD READINESS DATA COLLECTION/EVALUATION FORM

6/1/1989 FPL

CG-5512 CG-13

CONCEPT OF EXERCISE (COE) REPORT

6/1/1989 SH FPL

CG-5512A CG-69

INFORMATION TECHNOLOGY CHECK-IN / CHECK-OUT FORM

CG-5513 CG-12

DOT, USCG EMPLOYEE/MEMBER ACKNOWLEDGEMENT


CG-5514 CG-1214

COMMANDERS AWARD FOR CIVILIAN SERVICE

6/1/2004 ADOBE

As of: 11/1/2020


CG-5515 G-CQM 6/1/1989 SHEET SH LOCAL REP

USCG PRODUCTIVITY PROJECT PROPOSAL FORM

CG-5516 G-CQM 7/1/1995 FOLDER EA CG INST.

CG IDEA EXPRESS FOLDER

CG-5517 CG-43 2/1/2020 ADOBE

AC&I FINAL DATA FORM - CIVIL ENGINEERING PROJECT

CG-5518 CG-43 6/1/1989 FPL

COST ESTIMATE SUMMARY FORM - AC&I PROJECT

CG-5519 CG-43 2/1/2020 ADOBE

BOILER OR PRESSURE VESSEL INSPECTION FORM

CG-5520 CG-43 2/1/2020 ADOBE

COST ESTIMATE SUMMARY FORM - OE PROJECT

CG-5520A CG-43 4/1/2020 ADOBE

OPERATING EXPENSE (OE) PROJECT CERTIFICATION

CG-5521 CG-43 6/1/1989 ADOBE

OG-43 FUNDS STATUS REPORT

CG-5521A CG-221 6/1/2019 ADOBE

SCI SCREENING CHECKLIST (CHANGE)

CG-5521B CG-221 6/1/2019 ADOBE

SCI CHECKLIST (NEW)

CG-5521C CG-221 6/1/2019 ADOBE

SCI SCREENING CONTINUATION

CG-5522 DCMS-341 3/1/2020 ADOBE

LOCAL RECORD CHECK (LRC)


DRUG URINALYSIS SAMPLE LEDGER

CG-5524 CG-0922 753001GF32270 9/1/1989 PAMPHLET EA ELC

MINI HISTORY OF THE USCG PAMPHLET, 1790 -1990

CG-5525 CG-13 6/1/2004 ADOBE

CG RESERVE ASSIGNMENT REQUEST AND ORDERS

CG-5527 CGRC 1/1/2020 ADOBE

OFFICER PROGRAMS APPLICANT ASSESSMENT FORM

CG-5527A CGRC 2/1/2014 ADOBE

OFFICER PROGRAMS DIRECT COMMISSION AVIATOR INTERVIEW FORM

CG-5527L CG-LPD 11/1/2019 ADOBE

OFFICER PROGRAMS DIRECT COMMISSION LAYER INTERVIEW FORM

CG-5529 CG-13 753001GF32350 1/1/1990 50 SHEETS SE ELC

RESERVE CAREER DEVELOPMENT INTERVIEW/REQUEST FOR ADT ORDERS FORM

CG-5530 CG-12 10/1/2012 CERTIFICAT ADOBE

CERTIFICATE FOR ADVANCEMENT TO SEAMAN/FIREMAN (E-3)

As of: 11/1/2020



APPLICATION FOR APPOINTMENT TO THE CG RESERVE IN THE SELECTED SCHOOL PROGRAM

CG-5532A CG-12 4/1/1990 SHEET SH LOCAL REP

APPLICATION FOR APPOINTMENT TO THE CG RESERVE IN THE PRIOR TRAINED MILITARY OFFICER PROGRAM

CG-5533 CG-BSX 7/1/1990 CERTFICATE EA ANSC

CERTIFICATE OF SERVICE (USCG AUXILIARY)

CG-5534 CG-1112 4/1/2020 ADOBE

NON-FEDERAL HEALTH CARE CERTIFICATION FORM

CG-5536 CG-11 5/1/1992 CERTIFICAT EA G-WKW

FIT FOR DUTY - FIT FOR LIFE SPORTS AWARD CERTIFICATE

CG-5537 G-ACS 6/1/2004 ADOBE

PRE/POST NEGOTIATION CLEARANCE AND APPROVAL

CG-5538 CG-452 12/1/2019 ADOBE

ENGINEERING CHANGE PROPOSAL COST ESTIMATE SUPPORT SHEET

CG-5539 G-CCS-3 753001GF32470 1/1/1991 POSTER EA ELC

CG VISION STATEMENT POSTER

CG-5541 CG-11 6/1/2004 ADOBE

CG RATING CHAIN ADDENDUM


OPTIONAL APPLICATION FOR FILING

CG-5543 G-APO 8/1/1991 CERTIFICAT EA CG-85

SADBUS CERTIFICATE OF APPOINTMENT


M&E DATA COLLECTION LOG

CG-5545 CG-12 2/1/1992 ADOBE

NAFA PERSONNEL EVALUATION REPORT/NAF PAY BAND 1 & 2 (NA's NL's, NS's)

CG-5545A CG-12 2/1/1990 ADOBE

NAFA PERSONNEL EVALUATION REPORT/NAF PAY BAND 3 & 4


U.S. COAST GUARD PUBLIC AFFAIRS MONTHLY REPORT

CG-5548 CG-61 12/1/1991 CERTIFICAT EA LOCAL REP

NATO BRIEFING CLEARANCE CERTIFICATE

CG-5549 CG-MER-1 7/1/2017 ADOBE

NOTICE OF FEDERAL INTEREST

CG-5549SP CG-MER-1 12/1/2018 ADOBE

NOTICE OF FEDERAL INTEREST (SPANISH)

CG-5550

EMERGENCY MEDICAL TECHINICIAN RECORD OF CONTINUING EDUCATION


USCG AUXILIARY ADMINISTRATIVE PROCEDURES COURSE CERTIFICATE

As of: 11/1/2020


CG-5552 CG-11

AUDIOLOGY HISTORY QUESTIONNAIRE

7/7/1992 SHEET SE LOCAL REP

CG-5553A CG-12

REIMBURSEMENT REGISTRATION/REQUEST FOR ADOPTION EXPENSE


CG-5558 CG-381

COMMERCIAL VESSEL SAFETY USER FEE DECAL

1/1/1993 DECAL EA G-PRP

CG-5562 CG-FAC

WATERFRONT FACILITY INSPECTION FILE FOLDER

753001GF32800 5/1/2018 FOLDER EA SFLC

CG-5562A CG-FAC-2

BULK LIQUID FACILITY COMPLIANCE BOOK

6/1/2004 ADOBE

CG-5562B CG-CVC-1

POLLUTION PREVENTION COMPLIANCE REPORT

753001GF32720 2/1/1994 25 SETS PD ELC

CG-5562C CG-CVC-1

CG INSPECTION DEFICIENCY REPORT

1/1/1993 SHEET SH G-PCV

CG-5563 HSC(a-3)

MASS TRANSIT FARE BENEFIT PROGRAM RECERTIFICATION FORM

3/1/2020 ADOBE

CG-5564 CG-483

MASS TRANSIT FARE BENEFIT PROGRAM ACCOUNTABILITY REPORT

4/1/2020 ADOBE

CG-5565 CG-381

USER FEE NOTTIFICATION LETTER - GOVERNMENT MAILER

5/1/1995 DATA-MAILE EA FINCEN

CG-5565A CG-3831

USER FEE ACNOWLEDGEMENT LETTER

5/1/1995 DATA-MAILE EA FINCEN

CG-5566 CG-12

MEDICAL WAIVER COVER SHEET


CG-5568 CG-00

COMMANDANT'S STAFF ID CERTIFICATE

6/1/1993 CERTIFICAT EA G-C

CG-5570 CG-12

DO-IT-YOURSELF (DITY) MOVE CERTIFICATE


CG-5571 CG-1333

UNITED STATES COAST GUARD RESIDENTIAL LEASE

3/1/2020 ADOBE

CG-5571A CG-1333

UNITED STATES COAST GUARD RESIDENTIAL LEASE GENERAL PROVISIONS

11/1/2019 ADOBE

CG-5571B CG-1333

CONDITION INSPECTION REPORT

3/1/2020 ADOBE

CG-5572 CG-12

DIVERSITY MENTORING NETWORK

6/1/2004 ADOBE

CG-5573 CG-INV

USCG DRUG AND ALCOHOL TESTING MIS DATA COLLECTION FORM

11/1/1993 SHEET SH G-MOA

CG-5575 CG-1122

REQUEST FOR CLINICAL PRIVILEGES PHYSICIAN

8/1/2002 G-WPM

As of: 11/1/2020


CG-5575A CG-11 8/1/2002

REQUEST FOR CLINICAL PRIVILEGES/PHYSICIAN ASSISTANT/FAMILY NURSE PRACTITIONER

LOCAL REP

CG-5575B CG-1122

REQUEST FOR CLINICAL PRIVILEGES

8/1/2002 CG-1122

CG-5576 CG-12

AVIATION INCENTIVE PAY CALCULATION FORM


CG-5577 CG-FAC-2

INTERMODAL CONTAINER INSPECTION REPORT

753001GF90014 1/1/2019 50 Sets PG ADOBE

CG-5577A CG-CVC

HAZARDOUS MATERIALS INSPECTION REPORT

2/1/1994 4PT SE SE OKLAHOMA

CG-5577D CG-FAC-2 769001GF90021

INTERMODAL CONTAINER RE-INSPECTION REQUIRED STICKER (CG-5577D)

2/1/2019 PG STICKER

CG-5578 CG-BSX-23

BOAT OWNER'S REPORT - POSSIBLE SAFETY DEFECT

8/1/2015 ADOBE

CG-5579 CG-43

PUBLIC VOUCHER FOR QRP RECYCLING REFUNDS


CG-5579A CG-43

QRP ANNUAL REPORT FORM


CG-5580 G-CCS-4

CG WELCOME ABOARD FOLDER

753001GF32740 2/1/1994 10 FOLDERS PG ELC

CG-5580A DCMS-34

ARTICLE 31 UCMJ RIGHST ADVISEMENT

3/1/2020 CARD

CG-5580B DCMS-34

5TH AMENDMENT RIGHTS ADVISEMENT

3/1/2020 CARD

CG-5580C DCMS-34

IMPLIED CONSENT ADVISEMENT

7/1/2020 CARD

CG-5581 CG-CPE

ENVIRONMENTAL POLICY STATEMENT PAMPHLET

753001GF32750 3/1/1994 BOOK BK ELC

CG-5581A CG-CPE

ENVIRONMENTAL POLICY STATEMENT PLACARD

753001GF32760 3/1/1994 50 PLACARD PG ELC

CG-5582 CG-INV

NOTICE OF VIOLATION

753001GF32770 6/1/2002 4 PT SE PD SFLC

CG-5583 CG-1121

NOTIFICATION OF DEMOLITION AND RENOVATION


CG-5584 CG-1121

USCG MISHAP REPORT

6/1/2004 ADOBE

CG-5585 NPFC(CV) 10/1/2019

APPLICATION FOR VESSEL CERTIFICATION OF FINANCIAL RESPONSIBILITY (WATER POLLUTION)

ADOBE

CG-5586 NPFC(CV)

INSURANCE GUARANTY FORM

9/1/2019 ADOBE

As of: 11/1/2020


CG-5586-1 NPFC(CV)

MASTER INSURANCE GUARANTY

9/1/2019 ADOBE

CG-5586-2 NPFC(CV)

SURETY BOND GUARANTY

9/1/2019 ADOBE

CG-5586-3 NPFC(CV)

FINANCIAL GUARANTY

9/1/2019 ADOBE

CG-5586-4 NPFC(CV)

MASTER FINANCIAL GUARANTY

9/1/2019 ADOBE

CG-5586-5 NPFC(CV)

VESSEL CERTIFICATE OF FINANCIAL RESPONSIBILITY

9/1/2019 CERTIFICA

CG-5587 CG-CVC-3 753001GF90001

COMMERCIAL FISHING VESSEL SAFETY EXAMINATION BOOKLET

6/1/2008 BOOKLET PG SFLC

CG-5587A CG-CVC-3

COMMERCIAL FISHING VESSEL SAFETY EXAMINATION DECAL

753001GF90002 6/1/2008 50 SHEETS PG SFLC

CG-5587B CG-CVC-3

COMMERCIAL FISHING VESSEL SAFETY EXAMINATION SUPPLEMENTS

3/1/2002 4 PG PG ELC

CG-5588 DCMS-341

PERSONNEL SECURITY ACTION

6/1/2017 SH ADOBE

CG-5590 CG-11

SUBJECT INTERVIEW FOR CHILD CARE PROVIDERS

3/1/2020 SA ADOBE

CG-5591 G-APO

BLANKET PURCHASE AGREEMENT CALL RECORD SHEET

5/1/2020 ADOBE

CG-5592 CG-11

SUSPECTED OVERCHARGING NOTIFICATION FORM

3/1/2020 ADOBE

CG-5593 CG-2-CGIS

AUTHORIZATION FOR SEARCH


CG-5593-1 CG-2-CGIS

ALCOHOL/DRUG ABUSE INFORMATION RELEASE

12/1/1994 SHEET AH LOCAL REP

CG-5593A CG-2-CGIS

CGI OPERATIONAL PLAN CHECKLIST


CG-5593B CG-2-CGIS

CGI STANDARD PLANNING CHECKLIST


CG-5593C CG-2-CGIS

CGI S/A PERSONAL EQUIPMENT CHECKLIST


CG-5593D CG-2-CGIS

MILITARY RIGHTS FORM


CG-5593E CG-2-CGIS

CIVILIAN RIGHTS FORM


CG-5593F CG-2-CGIS

AFFIDAVIT FORM


As of: 11/1/2020


CG-5593G CG-2-CGIS

PERSONAL FINANCIAL STATEMENT


CG-5593H CG-2-CGIS

DOCTOR/PATIENT RELEASE STATEMENT


CG-5593J CG-2-CGIS

MEDICAL INFORMATION QUESTIONNAIRE


CG-5593K CG-2-CGIS

REFERENCE QUESTIONNAIRE


CG-5593L CG-2-CGIS

FINANCIAL AUTHORIZATION FOR ACCESS


CG-5593M CG-2-CGIS

PERSONNEL SECURITY INVESTIGATION AFFIDAVIT


CG-5594 CGIS

CONSENT TO UNDERGO POLYGRAPH EXAM

2/1/2012

CG-5594A CG-2-CGIS

PERMISSION TO USE TELEPHONE RECORDING DEVICE


CG-5594B CG-2-CGIS

PERMISSION TO USE BODY RECORDER/TRANSMITTER


CG-5594C CG-2-CGIS

REQUEST TO USE ELECTRONIC MONITORING


CG-5594D CG-2-CGIS

SPECIAL AGENT APPLICANT EVALUATION


CG-5594E CG-2-CGIS

MILITARY S/A CONSECUTIVE ASSIGNMENT PACK


CG-5594F CG-2-CGIS

CGI MOBILITY CERTIFICATE


CG-5594G CG-2-CGIS

MILITARY APPLICANT CONDITIONS OF ASSIGNMENT


CG-5594H CG-2-CGIS

PERSONAL FIREARMS REQUEST


CG-5594I CG-2-CGIS

CGI EVIDENCE/PROPERTY CUSTODY RECEIPT


CG-5594J CG-2-CGIS

HANDWRITING EXEMPLARY - VOLUNTARY CONSENT


CG-5594K CG-2-CGIS

CO AUTHORIZATION FOR HANDWRITING EXEMPLARY


CG-5594L CG-2-CGIS

VOLUNTARY CONSENT TO SEARCH


CG-5594M CG-2-CGIS

APPLICATION FOR SEARCH AUTHORIZATION


As of: 11/1/2020

Form_Number

CG-5596

CG-5597

CG-5598

CG-5598A

CG-5600

CG-5600A

CG-5601

CG-5602

CG-5603

CG-5604

CG-5605

CG-5606

CG-5607

CG-5608

CG-5609

CG-5610

CG-5611

CG-5612

CG-5613


CG-2-CGIS 12/1/1994 SHEET SH LOCAL REP

DISCRIMINATION INCIDENT REPORT FORM


CGES TRAINING APPLICATION

CG-844 10/1/2012 ADOBE

REPORT OF ABANDONMENT/DESTRUCTION PERSONAL PROPERTY

CG-844 12/1/2012 ADOBE

WITNESS TO ABANDONMENT/DESTRUCTION PERSONAL PROPERTY

G-MWP-2 8/1/1995 LOCAL REP

ABANDONED VESSEL INVENTORY FORM

CG-PSA-2 8/1/1995 LOCAL REP

ABANDONED VESSELS SUMMARY REPORT

CG-CVC 9/1/1995 NMC

STCW ENDORSEMENT CERTIFICATE

CG-12 10/1/1995 G-WPC

COAST GUARD PLACEMENT PROGRAM REGISTRATION FORM

CG-45 11/1/1995 LOCAL REP

DANGER/CAUTION TAG-OUT INDEX AND RECORD OF AUDITS


DANAGER/CAUTION TAG-OUT RECORD SHEET

CG-1122 8/1/2019 ADOBE

DENTAL HEALTH QUESTIONNAIRE

CG-BSX-1 7/1/1996 CERTIFICAT EA ANSC

COAST GUARD SUSTAINED AUXILIARY SERVICE AWARD CERTIFICATE

CG-BSX-1 7/1/1996 CERTIFICAT EA ANSC

COAST GUARD AUXILIARY MERITORIOUS SERVICE AWARD CERTIFICATE

NMC-3 12/1/2007 ON LINE

PROCEEDINGS ONLINE REQUEST FORM

CG-1333 9/1/1980 3PT SE SE ELC

QUARTERS CONDITION INSPECTION REPORT

CG-612 11/1/2013 ADOBE

DUPLICATING/ COPYING EQUIPMENT INVENTORY

CG-CVC-1 753001GF90008 10/1/1996 ELC

STCW 95 ENDORSEMENT CERTIFICATE

CG-1112 10/1/1996 LOCAL REP

ONGOING CASE DICTATION FORM


SPECIAL NEEDS CLOSING FORM

CG-5614 CG-1112 10/1/1996 LOCAL REP

SPECIAL NEEDS TRANSFER FORM

As of: 11/1/2020


CG-5615 CG-1112 10/1/1996 LOCAL REP

FAMILY ADVOCACY CLOSING FORM

CG-5616 CG-1112 10/1/1996 LOCAL REP

FAMILY ADVOCACY TRANSFER FORM

CG-5618 CG-00H 11/1/1996 LOCAL REP

COAST GUARD INITIAL CONTACT TRACKING FORM

CG-5618_1 CG-12 3/1/2020 ADOBE

INITIAL CONTACT TRACKING FORM FOR MILITARY/CIVILIAN INFORMAL DISCRIMINATION COMPLAINTS

CG-5618_2 CG-133 3/1/2020 ADOBE

INITIAL CONTACT TRACKING FORM FOR MILITARY/CIVILIAN DISCRIMINATION COMPLAINT PROGRAM

CG-5623 G-APO 3/1/2020 ADOBE

IMPACT ORDER LOG

CG-5624 CG-44 6/1/2004 ADOBE

AUTOMOBILE COMMUTING USE REPORTING FORM

CG-5625 CG-44 6/1/2004 ADOBE

ANNUAL SUMMARY OF FRINGE BENEFITS

CG-5628 CG-11 6/1/1997 G-WKH-1

CLINIC RECOGNITION CERTIFICATE

CG-5629 CG-1112 3/1/1997 CG-1112

CHILD ATTENDANCE FORM

CG-5630 CG-1112 3/1/1997 CG-1112

INVOICE FOR FAMILY CHILD CARE REIMBURSEMENT

CG-5631 G-OPT 11/1/2017 G-OPT

BRIDGE ADMINISTRATION PROGRAM QUARTERLY ACTIVITIES REPORT

CG-5632 NPFC 6/1/2004 ADOBE

DAILY RECORD WORKSHEET - CONTRACTS


DAILY RECORD WORKSHEET - REMOVAL AUTHORIZATION


DAILY RECORD WORKSHEET - GENERAL


DAILY RECORD WORKSHEET - TRAVEL AND RESERVE ORDERS ISSUED


INCIDENT REPORT AND TRANSMITTAL


INCIDENT REPORT - SOURCE INFORMATION


INCIDENT REPORT - CONTRACTORS


INCIDENT REPORT - OTHER GOVERNMENT AGENCIES

As of: 11/1/2020



INCIDENT REPORT - KEY PARTIES

CG-5642 CG-CVC-4 5/1/2020 ADOBE

DOCUMENT OF COMPLIANCE

CG-5643 CG-CVC-4 5/1/2020 ADOBE

SAFETY MANAGEMENT CERTIFICATE

CG-5644 CG-44 11/1/2011 SHEET SH Adobe

INVENTORY CONTROL EFFECTIVENESS REPORT

CG-5648 CG-11 6/1/1968 LOCAL REP

POTABLE WATER QUALITY LOG

CG-5649 CG-61 9/1/1998 G-CIM

ANNUAL COAST GUARD INFORMATION TECHNOLOGY CONTRACTOR USER SECURITY AGREEMENT

CG-5650 CG-00H 11/1/1998 LOCAL REP

DISCRIMINATION COMPLAINT FORM

CG-5651 FORCECOM 3/1/2020 ADOBE

APPLICATION FOR ADVANCED EDUCATION

CG-5654 CG-63 3/1/1999 CG-63

SWIII ENGINEERING CHANGE PROPOSAL (ECP) WORKSHEET

CG-5655 CG-63 3/1/1999 On-line

SWIII SYSTEM LIFECYCLE COST (SLC) WORKSHEET

CG-5656 CG-00H 3/1/1999 LOCAL REP

MEDIATION COMPLETION FORM

CG-5656A CG-00H 3/1/1999 LOCAL REP

COUNSELOR'S REPORT, CIVILIAN

CG-5656B CG-00H 3/1/1999 LOCAL REP

COUNSELOR'S REPORT, MILITARY

CG-5656C CG-00H 3/1/1999 LOCAL REP

ANNUAL REPORT ON EEO COUNSELING ACTIVITY

CG-5656D CG-00H 3/1/1999 LOCAL REP

ALTERNATIVE DISPUTE RESOLUTION (ADR)/EO COUNSELING OPTION FORM

CG-5656E CG-00H 3/1/1999 LOCAL REP

AUTHORIZATION TO EXTEND COUNSELING

CG-5656F CG-00H 3/1/1999 LOCAL REP

NOTICE OF RIGHT TO FILE A DISCRIMINATION COMPLAINT, MILITARY

CG-5656G CG-00H 3/1/1999 LOCAL REP

NOTICE OF RIGHT TO FILE A DISCRIMINATION COMPLAINT, CIVILIAN

CG-5657 CG-12 4/1/1999 LOCAL REP

SPONSOR RESPONSIBILITIES

CG-5658 CG-12 4/1/1999 LOCAL REP

GENERIC CREDITING PLAN

As of: 11/1/2020


CG-5659 CG-12 5/1/1999 LOCAL REP

REQUEST FOR A CIVILIAN RECRUITMENT, RELOCATION, OR RETENTION INCENTIVE

CG-5660 CG-12 6/1/1999 LOCAL REP

PERMANENT PARTY UPH OCCUPANCY REPORT

CG-5661 CG-12 6/1/1999 LOCAL REP

TRANSIENT UPH OCCUPANCY REPORT

CG-5662 CG-OES-3 6/1/1999

BALLAST WATER REPORTING FORM

CG-5663 CG-MLE 7/1/1999 LOCAL REP

COAST GUARD JUDGMENTAL USE OF FORCE EVALUATION (CGJUFE) RAW SCORE FORM

CG-5665 CG-11 3/1/2020 ADOBE

ANTHRAX IMMUNIZATION RECORD

CG-5667 CG-64 4/1/2011 SHEET SH ADOBE

VHF-FM AUTOMATIC DIRECTION FINDER CALIBRATION CHART

CG-5668 CG-12 11/1/1980 SA ADOBE

INVENTORY SHEET NUMBER CONTROL RECORD

CG-5668B CG-103 6/1/2004 SA ADOBE

PHYSICAL INVENTORY

CG-5669 CG-12 753001GF29590 12/1/1989 SHEET SH ELC

NAFA FACILITY IMPROVEMENT SURVEY

CG-5673 CG-133 3/1/2020 ADOBE

CHILD'S APPRECIATION LETTER

CG-5674 CG-133 4/1/2020 ADOBE

SPOUSE REENLISTMENT APPRECIATION LETTER

CG-5675 CG-133 4/1/2020 ADOBE

OATH OF REENLISTMENT CERTIFICATE

CG-5677 CG-OES 12/1/1999 LOCAL REP

OFFSHORE CONFINE ENTRY PERMIT

CG-5678 NMC-4C 2/1/2000 LOCAL REP

APPROVED COURSE STUDENT SURVEY


HIGH-SPEED CRAFT SAFETY CERTIFICATE


RECORD OF EQUIPMENT FOR HIGH SPEED CRAFT SAFETY CERTIFICATE

CG-5680 CG-CVC-1 1/1/2014 ADOBE

PERMIT TO HIGH SPEED CRAFT SAFETY CERTIFICATE

CG-5682 CG-452 4/1/2020 ADOBE

ENGINEERING CHANGE REQUEST

CG-5683 NVDC 10/1/2000 COMP GEN

APPLICATION FOR CERTIFICATE OF NUMBER FOR UNDOCUMENTED BARGE

As of: 11/1/2020

Form_Number

CG-5683A

CG-5684

CG-5685

CG-5686

CG-5687

CG-5700

CG-5728

CG-5728A

CG-5728B

CG-5729

CG-5800

CG-5800A

CG-5800B

CG-5800C

CG-5800D

CG-5800E

CG-5800F

CG-5800G

CG-5800H

OPR / Title Stock_Number

NVDC

CERTIFICATE OF NUMBER OF UNDOCUMENTED BARGE

CGPC-adm-1

MEDICAL BOARD REPORT COVER SHEET

CG-12

U.S. COAST GUARD LIFESAVING AWARD

CG-741

MARINE SAFETY INSIGNIA CERTIFICATE

CG-12

CGES SCHOLARSHIP PROGRAM APPLICATION

CG-09223

COAST GUARD ART PROGRAM (COGAP) MEMBERSHIP APPLICATION FORM

CG-43 753001GF30830

SOLAR POWER SERVICE REPORT

CG-0922 753001GF90011

TEAM COAST GUARD COLORING BOOK

CGPC-CGRC 753001GF90011

COAST GUARD COLORING BOOK

CG-BSX

USCG INTERIM MISSION OBJECTIVES SYSTEM AWARD CERTIFICATE

CG-00J

CERTIFICATE OF SERVICE

CG-00J

GENERAL MOTION COST

CG-00J

MOTION FOR FURTHER DISCOVERY

CG-00J

NOTICE OF APPEAL

CG-00J

NOTICE OF APPEARANCE

CG-00J

NOTICE OF EXPECTED EXHIBITS

CG-00J

NOTICE OF EXPECTED WITNESSES

CG-00J

REQUEST FOR EXTENSION OF TIME

CG-00J

LOST CREDENTIAL AFFIDAVIT

Date U/D U/I

10/1/2000

4/1/2020

3/1/2020

4/1/2001 SH

12/1/2017

9/1/2016

8/1/1988 20 3P SE PG

6/1/2013 200 BOOKS BX

7/1/2013 BX


8/1/2014

8/1/2014

8/1/2014

8/1/2014

8/1/2014

8/1/2014

8/1/2014

8/1/2014

8/1/2014

Stock_Point

COMP GEN

ADOBE

ADOBE

ADOBE

ADOBE

ELC

SFLC

SFLC

ANSC

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

CG-5810A CG-LMJ 7/1/2019 ADOBE

ACKNOWLEDGMENT OF RIGHTS - ACCEPTANCE OF NJP (Enlisted Member Attached To Shore Unit)

As of: 11/1/2020


CG-5810B CG-LMJ 6/1/2019 ADOBE

ACKNOWLEDGE OF RIGHTS-ACCEPTANCE OF NJP (Officer Member Attached to Shore Unit)

CG-5810C CG-LMJ 4/1/2020 ADOBE

ACKNOWLEDGEMENT OF RIGHTS-ACCEPTANCE OF NJP (Enlisted Member Attached to, or Embarked in, a Vessel)

CG-5810D CG-LMJ 7/1/2019 ADOBE

ACKNOWLEDGMENT OF RIGHTS-ACCEPTANCE OF NJP (Officer Attached to, or Embarked in, a Vessel)

CG-5810E CG-LMJ 7/1/2019 ADOBE

ARTICLE 31 (B), UCMJ, AND MIRANDA/TEMPIA RIGHTS

CG-5810F CG-LMJ 4/1/2020 ADOBE

APPLICATION FOR SEARCH AUTHORIZATION

CG-5810G CG-LMJ 4/1/2020 ADOBE

VOLUNTARY CONSENT TO SEARCH

CG-5810H CG-LMJ 4/1/2020 ADOBE

URINALYSIS CONSENT FORM

CG-5810I CG-LMJ 4/1/2020 ADOBE

SEARCH AND SEIZURE AUTHORIZATION

CG-6000 CG-2-CGIS 7/1/2019 ADOBE

COAST GUARD INVESTIGATIVE SERVICE EVIDENCE CUSTODY FORM

CG-6000-1 CG-1121 6/1/2019 ADOBE

ACUTE EXPOSURE INFORMATION FORM

CG-6000-2 CG-1121 10/1/2010 ADOBE

ANNUAL COMMAND AFLOAT MEDICAL SCREENING

CG-6000-3 CG-1121 6/1/2019 ADOBE

DIVER-BUDS MEDICAL SCREENING QUESTIONNAIRE

CG-6000-4 CG-1121 6/1/2019 ADOBE

IDHS OPERATIONAL INTEGRATION FORM

CG-6000-5 CG-1121 6/1/2019 ADOBE

QUALITY IMPROVEMENT CALENDAR

CG-6000-6 CG-1121 6/1/2019 ADOBE

QUALITY IMPROVEMENT STUDY REPORT TEMPLATE

CG-6001 CG-CGIS 7/1/2019 ADOBE

COAST GUARD INVESTIGATIVE SERVICE REQUEST TO EXPEND CREDENTIAL FUNDS


COAST GUARD INVESTIGATIVE SERVICE RECEIPT FOR PRISONER OR DETAINED PERSON


COAST GUARD INVESTIGATIVE SERVICE REQUEST FOR AUTHORITY TO CARRY PERSONALLY OWNED FIREARM


COAST GUARD INVESTIGATIVE SERVICE REPORFT OF FRAUD INVESTIGATIONS FOR DOT/OIG


COAST GUARD INVESTIGATIVE SERVICE CIVILIAN SUSPECT'S CLEANSING RIGHTS FORM

As of: 11/1/2020



COAST GUARD IINVESTIGATIVE SERVICE CIVILIAN RIGHTS FORM


COAST GUARD INVESTIGATIVE SERVICE PERMISSION FOR USE OF RECORDER/TRANSMITTER


COAST GUARD INVESTIGATIVE SERVICE DOCUMENT TRANSMITTAL FORM


COAST GUARD INVESTIGATIVE SERVICE REQUEST FOR AUTHORIZATION TO CONDUCT CONSENSUAL MONITORING FORM


COAST GUARD INVESTIGATIVE SERVICE CONSENT TO INSTALL TELEPHONE RECORDING DEVICE

CG-6010A CG-1121 12/1/2016 ADOBE

CLINICAL APPRAISAL FORM

CG-6010B CCG-1121 2/1/2018 ADOBE

WRITTEN OPINION

CG-6010C CG-1121 2/1/2018 ADOBE

SUMMARY REPORT

CG-6010D CG-1121 2/1/2018 ADOBE

CIVILIAN MEDIAL CLEARANCE

CG-6010E CG-1121 2/1/2018 ADOBE

OCCUPATIONAL MEDICAL HISTORY AND EXAMINATION

CG-6010F CG-1121 2/1/2018 ADOBE

RESPIRATOR QUESTIONNAIRE

CG-6010G CG-1121 2/1/2018 ADOBE

RESPIRATOR CLEARANCE REQUEST

CG-6010H CG-1121 2/1/2018 ADOBE

RESPIRATORY SENSITIZER QUESTIONNAIRE

CG-6010J CG-1121 2/1/2018 ADOBE

GUEST CREW MEMBER HEALTH QUESTIONNAIRE


COAST GUARD INVESTIGATIVE SERVICE VOLUNTARY CONSENT TO SEARCH FORM


COAST GUARD INVESTIGATIVE SERVICE APPLICATION FOR SEARCH AUTHORIZATION FORM


COAST GUARD INVESTIGATIVE SERVICE MILITARY AUTHORIZATION FOR SEARCH AND SEIZURE


COAST GUARD INVESTIGATIVE SERVICE MILITARY SUSPECT'S ACKNOWLEDGEMENT AND CLEANSING WAIVER OF RIGHTS FORM


COAST GUARD INVESTIGATIVE SERVICE MILITARY SUSPECT'S ACKNOWLEDGEMENT OF UNDERSTANDING OF RIGHTS FORM


COAST GUARD INVESTIGATIVE SERVICE REPORT OF RESIDENT AGENT OFFICE VISIT

As of: 11/1/2020

Form_Number

CG-6017

CG-6018

CG-6019

CG-6020

CG-6021

CG-6022

CG-6023

CG-6024

CG-6025

CG-6025A

CG-6026

CG-6027

CG-6028

CG-6029

CG-6030

CG-6031

CG-6032

CG-6033

CG-6034


CG-1122 8/1/2019 ADOBE

HEALTH RECORD - E-MAIL CONSENT FORM

CG-2-CGIS 6/1/2004 ADOBE

SPECIAL AGENT TIME REPORT

CG-11 5/28/2002 G-WKH-1

DAILY DENTAL PROCEDURES

CG-1121 1/1/2012 SHEET SH ADOBE

MEDICAL RECOMMENDATION FOR FLYING DUTY

CG-128 4/1/2020 ADOBE

COAST GUARD INDIVIDUAL DEVELOPMENT PLAN (IDP)

CG-61 6/1/2020 ADOBE

FILE PLAN


DEATH GRATUITY PAYMENT FUNDING AUTHORIZATION

CG-1122 6/1/2019 ADOBE

USCG YARD CLINIC REPORT

CG-FAC-2 10/1/2019 ADOBE

FACILITY VULNERABILITY AND SECURITY MEASURES SUMMARY

CG-FAC 10/1/2019 ADOBE

VULNERABILITY AND SECURITY MEASURES ADDENDUM

CG-1122 6/1/2019 ADOBE

AUTHORIZATION FOR DISCLOSURE OF PROTECTED HEALTH INFORMATION TO SPECIAL PROGRAMS


U.S. COAST GUARD REQUEST FOR STUDENT LOAN REPAYMENT BENEFIT

CG-1212 8/1/2003 LOCAL REP

U.S. COAST GUARD STUDENT LOAN REPAYMENT PROGRAM OUTSTANDING LOAN INFORMATION


U.S. COAST GUARD STUDENT LOAN REPAYMENT PROGRAM SERVICE AGREEMENT

CGIS 6/1/2012 ADOBE

COAST GUARD INVESTIGATIVE SERVICE REPORT OF COMMAND ACTION

CG-1121 6/1/2019 AH ADOBE

WAIVER REQUEST FOR AUXILIARY HEALTH CARE PROVIDERS RESIDING GREATER THAN 50 MILES FROM AN ASSIGNED CLINIC/SIC

CG-1121 6/1/2019 ADOBE

INFORMATION QUESTIONNAIRE FOR AUXILIARY HEALTH CARE PROVIDERS

CG-MLE G-RPL

U.S. COAST GUARD CANINE SERVICE RECORD

CG-1121 6/1/2019 ADOBE

REQUIRED APPLICATION INFORMATION FOR AUXILIARY HEALTH CARE ACTIVITIES

CG-6035 CG-12 3/4/2004 ADOBE

CERTIFICATE OF APPRECIATION

As of: 11/1/2020

Form_Number

CG-6036

CG-6037

CG-6038

CG-6038A

CG-6039

CG-6040

CG-6041

CG-6042

CG-6043

CG-6044

CG-6045

CG-6046

CG-6047

CG-6047A

CG-6048

CG-6049

CG-6050

CG-6051

CG-6052

CG-6053


CG-12 6/1/2004 ADOBE

COMMANDER'S AWARD FOR CIVILIAN SERVICE

CG-12 6/1/2004 ADOBE

ON THE SPOT CASH AWARD


CONTINUOUS SYNOPSIS RECORD (CSR)


AMMENDMENTS TO THE CONTINUOUS SYNOPSIS RECORD (CSR)


APPLICATION FOR CONTINUOUS SYNOPSIS RECORD (CSR)

CG-1121 6/1/2019 ADOBE

ATTESTATION

CG-1121 6/1/2019 ADOBE

VERIFICATION CONDITIONS AND RELEASE OF INFORMATION

CG-43 2/1/2020 ADOBE

ATON STRUCTURE INSPECTION

CG-11 3/1/2004 SA ADOBE

USCG REHABILITATION TREATMENT REQUEST FORM

CG-11 3/1/2004 ADOBE

CDAR REFERRAL AND FOLLOW UP REPORT


INTERNATIONAL SHIP SECURITY STATEMENT OF VOLUNTARY COMPLIANCE

CG-1121 6/1/2010 ON LINE FO

DEEPWATER HORIZON EVENT HEALTH-RELATED INVENTORY & REPORTING TOOL

CG-REG 8/1/2012 ADOBE

INTERNATIONAL SEWAGE POLLUTION PREVENTION EQUIVALENCY CERTIFICATE


STATEMENT OF VOLUNTARY COMPLIANCE FOR ANNEX IV OF MARPOL 73/78

CG-842 7/1/2004 ON LINE

YEAR END REPORTS FOR PERSONAL PROPERTY

CG-1111 3/1/2016 ADOBE

PERSONAL FITNESS PLAN

CG-1221 11/1/2007 ADOBE

COMMAND MEDICAL REFERRAL FORM

CG-FAC-1 5/1/2011 ADOBE

AMERICA'S WATERWAY WATCH ANNUAL REPORT FORM

CG-133 1/1/2005 G-WPM

TATTOO SCREENING

CG-1112 12/1/2005 ADOBE

COAST GUARD FOUNDATION SCHOLARSHIP FINANCIAL AID FORM

As of: 11/1/2020


CG-6054 CG-1112 12/1/2005 ADOBE

COAST GUARD FOUNDATION SCHOLARSHIP APPLICATION

CG-6055 CG-711 3/1/2020 ADOBE

HELICOPTER RESCUE SWIMMER TRAINING RECORD

CG-6056 CG-CVC-1 10/1/2020 ADOBE

INTERNATIONAL AIR POLLUTION PREVENTION CERTIFICATE

CG-6056A CG-CVC-1 7/1/2020 ADOBE

SUPPLEMENT TO INTERNATIONAL AIR POLLUTION PREVENTION CERTIFICATE (IAPP CERTIFICATE)

CG-6056B CG-CVC-1 5/1/2020 ADOBE

STATEMENT OF VOLUNTARY COMPLIANCE FOR ANNEX VI OF MARPOL 73/78

CG-6056C CG-CVC-1 10/1/2020 ADOBE

SUPPLEMENT TO STATEMENT OF VOLUNTARY COMPLIANCE FOR ANNEX VI OF MARPOL 73/78

CG-6057 CG-CVC-1 5/1/2020 ADOBE

STATEMENT OF VOLUNTARY COMPLIANCE

CG-6058 CG-133 3/1/2020 ADOBE

COAST GUARD SPONSOR NOTIFICATION


INTERNATIONAL ANTI-FOULING SYSTEMS CERTIFICATE


RECORD OF ANTI-FOULING SYSTEMS


INTERNATIONAL ENERGY EFFICIENCY CERTIFICATE


RECORD OF CONSTRUCTION RELATING TO ENERGY EFFICIENCY

CG-6070 CG-LMJ 4/1/2005 ADOBE

MILITARY PROTECTIVE ORDER

CG-6071 PSC 4/1/2020 ADOBE

WOMEN'S SPECIAL UNIFORM ORDER FORM

CG-6072 PSC 4/1/2020 ADOBE

MEN'S SPECIAL UNIFORM ORDER FORM

CG-6073 CG-0922 4/1/2005 ADOBE

COMMAND WORKSHEET FR PA "A" SCHOOL CANDIDATE INTERVIEW

CG-6074 CG-0922 4/1/2005 LOCAL REP

PA SUPERVISOR WORKSHEET FOR PA "A" SCHOOL CANDIDATE INTERVIEW

CG-6075 CG-0922 4/1/2005 LOCAL REP

PA SUPERVISOR INTERVIEW/ACTIVITIES DISCUSSION GUIDES

CG-6076 CG-1112 3/1/2006 Adobe

OMBUDSMAN SERVICE HOURS

CG-6077 CG-1112 3/1/2006

VOLUNTEER AGREEMENT

As of: 11/1/2020


CG-6078 CG-1112 6/1/2019 ADOBE

APPLICATION TO VOLUNTEER AS A COAST GUARD OMBUDSMAN

CG-6079 CG-00H 6/1/2020 AH ADOBE

REQUEST FOR REASONABLE ACCOMODATION OR PERSONAL ASSISTNACE SERVICES

CG-6080 CG-00H 6/1/2020 AH Adobe

ACKNOWLEDGEMENT OF REASONABLE ACCOMMODATION REQUEST OR PERSONAL ASSISTANCE SERVICE REQUEST

CG-6081 CG-00H 6/1/2020 AH ADOBE

REASONABLE ACCOMMODATION DECISION OR PERSONAL ASSISTANCE SERVICE DECISION AND REPORTING FORM

CG-6082 CG-00H 7/1/2010 AH ADOBE

INFORMATION AND REPORTING FORM

CG-6083 CG-CVC-1 11/1/2013 ADOBE

APPLICATION FOR APPROVAL/REVISION OF POLLUTION RESPONSE PLAN

CG-6085

GREAT LAKES PILOTAGE STAFF - COMMENDATION / COMPLAINT LTR

CG-6086 CG-622 4/1/2020 ADOBE

FREQUENCY AUTHORIZATION REQUEST FORM

CG-6088 CG-1333 3/1/2020 ADOBE

AGREEMENT FOR CIVILIAN OCCUPANCY OF COAST GUARD FAMILY HOUSING

CG-6089 CG-1333 3/1/2020 ADOBE

QUARTERS INSPECTION CHECKLIST

CG-6090 CG-1333 6/1/2006 ADOBE

FIRE PROTECTION SYSTEMS EVALUATION

CG-6091 CG-133 3/1/2020 ADOBE

UNACCOMPANIED PERSONNEL HOUSING INSPECTION FORM

CG-6092 CG-1333 3/1/2020 ADOBE

UNACCOMPANIED PERSONNEL HOUSING FURNISHINGS AND EQUIPMENT INSPECTION FORM

CG-6093 CG-1223 6/1/2006

DISCLOSURE OF ENVIRONMENTAL HEALTH HAZARDS IN COAST GUARD HOUSING

CG-6095 CG-1112 2/1/2017 ADOBE

VICTIM REPORTING PREFERENCE STATEMENT

CG-6095A CG-1112 6/1/2019 SHEET ADOBE

VICTIM ADVOCATE STATEMENT OF UNDERSTANDING

CG-6095B CG-1112 6/1/2019 ADOBE

VICTIM ADVOCATE SUPERVISOR STATEMENT OF UNDERSTANDING

CG-6097 CGRC 5/1/2020 ADOBE

RESERVE APPLICANT ACCESSION WORKSHEET

CG-6100 CG-1121 8/1/2019 ADOBE

OVERSEAS ASSIGNMENT AND/OR SEA DUTY HEALTH SCREENING

CG-6110 CG-1331

USCG BODY COMPOSITION PILTO PHYSICAL FITNESS TEST PRE-SCREENING FORM

As of: 11/1/2020

Form_Number

CG-6150

CG-6200

CG-6200A

CG-6201

CG-6202

CG-6203

CG-6204

CG-6205

CG-6206

CG-6207

CG-6208

CG-6209

CG-6210

CG-6211

CG-6212

CG-6213

CG-6214

CG-6215

CG-6240

CG-6260


CG-1121 12/1/2019 ADOBE

PERIODIC HEALTH ASSESSMENT

CG-1111 9/1/2019 ADOBE

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)

CG-1111 4/1/2007 ADOBE

HEALTH & FITNESS ASSESSMENT DATA SHEET

CG-1121 6/1/2009 ADOBE

BLOOD BORNE PATHOGEN EXPOSURE GUIDELINES

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: CHROMATES

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: ASBESTOS

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: BENZENE

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: NOISE

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: HAZARDOUS WASTE

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: LEAD

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: RESPIRATOR WEAR

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: PESTICIDES

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: RESPIRATORY SENSITIZERS

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: BLOODBORNE PATHOGENS

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: TUBERCULOSIS

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: SOLVENTS

CG-1121 5/1/2009 ADOBE

EXAMINATION PROTOCOL FOR EXPOSURE TO: RADIATION

CG-1121 5/1/2009 ADOBE

HOW TO CALCULATE SIGNIFICANT THRESHOLD SHIFT

CG-112 9/1/2019 ADOBE

FOOD-BORNE ILLNESS QUESTIONNAIRE

CG-00H 11/1/2019 ADOBE

MOBILITY PROGRAM DEVICE APPLICATION

As of: 11/1/2020


CG-6300 CG-PSC-RPM 4/1/2019 ADOBE

MEDICAL SUPPORT ALLOWANCE BILLET (MSAB) REQUEST

CG-6300A CG-PSC-RPM 4/1/2019 ADOBE

MONTHLY PHYSICIAN REPORT

CG-6300B CG-122 6/1/2020 ADOBE

COVID-19 HIGH-RISK CERTIFICATION FORM

CG-6300C CG-122 6/1/2020 ADOBE

COVID-19 IRRECONCILABLE HOME ISSUES FORM

CG-6300D CG-1121 price quote

COVI19 CLOSE CONTACT SYMPTOM MONITORING

CG-6300E CG-1121 price quote

COVID-19 CONTACT TRACKING CASE INTERVIEW

CG-6300F CG-1121 price quote

COVID-19 CONTRACT TRACKING QUESTIONNAIRE

CG-6320 CG-1111 1/1/2020 CG-1111

SUSTANCE ABUSE SCREENING ASSESSMENT

CG-6400 CG-112 7/1/2014 ADOBE

US COAST GUARD STUDENT EXTERNSHIP PROGRAM COMPLIANCE FORM

CG-704 NMC 753000F010010 3/1/1967 50 CARDS FY ELC

FORECASTLE CARD


AUTHORIZATION FOR CREDIT CARD TRANSACTION


ABSTRACT OF TITLE/CERTIFIED COD REQUEST

CG-705A NMC 8/1/2015 ADOBE

SHIPPING ARTICLES

CG-706B NMC 753000F010040 4/1/2003 BOOK BK SFLC

OFFICIAL LOG BOOK (MERCHANT MARINE)

CG-713A NMC 753000F010060 1/1/1980 100 SHEETS HD ELC

MUTUAL RELEASE

CG-718A NMC 10/1/2018 ADOBE

CERTIFICATE OF DISCHARGE TO MERCHANT MARINER

CG-719A NMC 12/1/1974 BOOK BK NMC

CONTINUOUS DISCHARGE BOOK

CG-719B MMC-2 4/1/2017 ADOBE

APPLICATION FOR LICENSE AS AN OFFICER, STAFF OFFICER, OR OPERATOR AND FOR MERCHANT MARINER'S DOCUMENT

CG-719B-T NMC 3/1/1992 SHEET SH NMC

SEAMAN'S TEMPORARY CERTIFICATION APPLICATION

CG-719C MMC-2 4/1/2017 ADOBE

DISCLOSURE STATEMENT FOR NARCOTICS, DWI/DUI, AND/OR OTHER CONVICTIONS

As of: 11/1/2020


CG-719K MMC-2 753000F010110 4/1/2017 ADOBE

MERCHANT MARINER CREDENTIAL MEDICAL EVALUATION REPORT

CG-719KE MMC-2 4/1/2017 ADOBE

MERCHANT MARINER EVALUATION OF FITNESS FOR ENTRY LEVEL RATINGS

CG-719P MMC-2 4/1/2017 ADOBE

DOT/USCG PERIODIC DRUG TESTING FORM

CG-719S MMC-2 4/1/2017 ADOBE

SMALL VESSEL SEA SERVICE FORM

CG-7201 PPC 2/1/2010 ADOBE

WAIVER APPLICATION FOR RETIREE

CG-7202 PPC 2/1/2010 ADOBE

WAIVER APPLICATION FOR ANNUITANT

CG-7220 CG-1332 1/1/2016 ADOBE

FAMILY SEPARATION HOUSING WORKSHEET

CG-7220A CG-133 3/1/2011 ADOBE

ANNEX T: ENLISTMENT BONUS AGREEMENT (NON-PRIOR SERVICE WITH GUARANTEED SCHOOL OR PRIOR SERVICE WITH QUALIF

CG-7220B CG-133 3/1/2011 ADOBE

ANNEX T.1: ENLISTMENT BONUS AGREEMENT (NON-RATE BONUS)

CG-7220C CG-133 3/11/2011 ADOBE

ANNEX T.2: ENLISTMENT BONUS AGREEMENT (STRIKER BONUSES)

CG-7220D CG-133 11/1/2019 ADOBE

CRITICAL SKILLS TRAINING BONUS (CSTB) AGREEMENT

CG-7220E CG-1331 11/1/2018 ADOBE

CRITICAL SKILLS RETENTION BONUS (CSRB) AGREEMENT

CG-7220F CG-133 4/1/2011 ADOBE

OFFICER ACCESSION BONUS (OAB) AGREEMENT

CG-7220G CG-1332 1/1/2016 ADOBE

CG GALLEY TEMPORARY CLOSURE-SUSPEND COLLECTION OF CG STANDARD MEAL RATE (CGSMR) DEDUCTIONS

CG-7220H CG-1214 2/1/2020 ADOBE

FAMILY STABILITY ACT BAH / HOUSING WORKSHEET

CG-7221 PPC 7/1/2010 ADOBE

RETIRED ALLOTMENT AUTHORIZATION FORM

CG-723 NMC 3/1/1975 SHEET SH NMC

CERTIFICATE OF SEAMAN'S SERVICE

CG-7270 PPC 2/1/2015 ADOBE

COLA-UNIQUE EXPENSES REIMBURSEMENT WORKSHEET

CG-7302 FINCEN 3/1/2019 ADOBE

EFT / ACH PAYMENT ENROLLMENT FORMS

CG-735T NMC 753000F010170 1/1/1980 100 SHEETS HD ELC

MASTER'S REPORT OF SEAMAN SHIPPED OR DISCHARGED

As of: 11/1/2020


CG-7421A PPC 3/1/2016 ADOBE

T-PAX/WINIATS USER ACCESS AUTHORIZATION & APPROVING OFFICIAL (AO) DESIGNATION

CG-7421B PPC 8/1/2017 ADOBE

DIRECT ACCESS USER ACCESS AUTHORIZATION AND PAYMENT APPROVING OFFICIAL (PAO) DESIGNATION

CG-7421C PPC 2/1/2010 ADOBE

JUMPS USER ACCESS AUTHORIZATION

CG-7421D PPC 9/1/2019 ADOBE

IMAGENOW USER ACCESS AUTHORIZATION

CG-7421E PPC 2/1/2010 ADOBE

DIRECT ACCESS PHS USER ACCESS AUTHORIZATION/REVOCATION

CG-7421F PPC 5/1/2010 ADOBE

DIRECT ACCESS II (GLOBAL PAYROLL) USER ACCESS AUTHORIZATION/REVOCATION

CG-7421G PPC 6/1/2012 ADOBE

DIRECT ACCESS WORK-LIFE MANAGEMENT SYSTEM USER ACCOUNT AUTHORIZATION

CG-7430 PPC 11/1/2017 ADOBE

BLENDED RETIREMENT SYSTEM ELECTRONIC FORM

CG-7430A PPC 11/1/2017 ADOBE

CONTINUATION PAY ELECTION

CG-7543 PPC 2/1/2010 ADOBE

STATEMENT OF FINANCIAL STATUS SUBMITTED FOR CONSIDERATION IN CONNECTION WITH INDEBTEDNESS TO THE UNITED STA

CG-809 NMC 753000F010190 1/1/1980 POSTER EA ELC

NOTICE - STATION - BILLS AND DRILLS

CG-811 CG-CVC-1 753000F010210 10/1/1979 POSTER EA SFLC

LIFESAVING SIGNALS AND BREECHES BUOY INSTRUCTIONS (POSTER)


SUMMARY OF OVERTIME SERVICES

CG-835 CG-CVC-1 753000F010250 3/1/2010 25 3 PT SE PD ADOBE

FACILITY INSPECTION REQUIREMENTS

CG-835F CG-FAC 753001GF90020 4/1/2018 25 Sets PG ADOBE

FACILITY INSPECITON REQUIREMENTS

CG-835V CG-CVC 753001GF90019 6/1/2020 25 Sets PG ADOBE

VESSEL INSPECTION REQUIREMENTS

CG-836 CG-CVC-1 3/1/1967 SHEET SH G-PCV

MEASUREMENTS OF FURNACES

CG-840 CG-CVC-1 10/1/2012

VESSEL INSPECTION BOOK

CG-840A CG-CVC 753000F010280 11/1/1978 BOOK BK ELC

HULL INSPECTION BOOK - CONDITION OF VESSEL

CG-840A-1 CG-CVC 9/1/1992 BOOK BK G-PCV

MODU HULL INSPECTION BOOK

As of: 11/1/2020


CG-840B CG-CVC 753000F010290 9/1/1992 BOOK BK ELC

MODU MACHINERY INSPECTION BOOK

CG-840B-1 CG-CVC 9/1/1992 BOOK BK G-PCV

MODU MACHINERY INSPECTION BOOK

CG-840E CG-CVC 753000F010300 2/1/1979 BOOK BK ELC

BARGE INSPECTION BOOK

CG-840F CG-CVC 753000F010310 6/1/1981 BOOK BK ELC

CONTROL VERIFICATION OR EXAMINATION OF FOREIGN VESSEL

CG-840GADD CG-CVC-2 4/1/2005 LOCAL REP

ISM COMPLIANCE ASSESSMENT TOOL

CG-840H CG-CVC 753000F010320 1/1/1968 BOOK BK ELC

DRYDOCK EXAMINATION BOOK

CG-840H-1 CG-CVC 9/1/1992 BOOK BK G-PCV

MODU DRYDOCK/UW SURVEY INSPECTION BOOK

CG-840ISPS CG-CVC-2 4/1/2004 LOCAL REP

FOREIGN VESSEL EXAM BOOK FOR MTSA/ISPS CODE COMPLIANCE

CG-840J-1 CG-CVC 9/1/1992 BOOK BK G-PCV

OFFSHORE SUPPLY VESSEL INSPECTION BOOK

CG-840S CG-CVC 753001GF28470 7/1/1978 BOOK BK ELC

TANKSHIP HULL INSPECTION BOOK

CG-840S-1 CG-CVC 7/1/1978 ADOBE

TANK VESSEL EXAMINATION LETTER

CG-840S-2 CG-CVC 6/1/2004 ADOBE

TANK VESSEL ENCLOSURE

CG-840T CG-CVC 753001F010330 12/1/1980 BOOK BK ELC

SMALL PASSENGER VESSEL INSPECTION BOOK

CG-841 CG-CVC-1 4/1/2000 MISLE

CERTIFICATE OF INSPECTION

CG-847 CG-41 9/1/2020 ADOBE

RECOMMENDATION FOR CHANGE OF PUBLICATION

CG-847A CG-41 6/1/2020 ADOBE

INSTRUCTIONS FOR COMPLETING FORM CG-847

CG-854 CG-CVC-1 6/1/2004 ADOBE

TEMPORARY CERTIFICATE OF INSPECTION

CG-887 NMC 753001GF39463 6/1/2001 PD MMLD

CERTIFICATE OF REGISTRY TO U.S. MERCHANT MARINE STAFF OFFICER

CG-899 NMC 753001GF32630 2/1/1992 ELC

ENDORSEMENT TO LICENSE

CG-9050 CG-452 4/1/2009 ADOBE

FULL POWER TRIAL LOG SUMMARY - 87' WPB

As of: 11/1/2020


CG-9070 CG-BSX-23

APPLICATION FOR MANUFACTURER IDENTIFICATION CODE (MIC)

CG-9191 CG-CVC-1

INTERNATIONAL BALLAST WATER MANAGEMENT CERTIFICATE (STATEMENT OF VOLUNTARY COMPLIANCE)

CG-927 NMC

LICENSE INFORMATION SYSTEM (LIS)

753000F010500 11/1/1981 100 CARDS HD ELC

CG-948 CG-CVC-1

PERMIT TO PROCEED TO ANOTHER PORT FOR REPAIRS

6/1/2004 ADOBE

CG-949 CG-CVC-1

PERMIT TO CARRY EXCURSION PARTY

6/1/2004 ADOBE

CG-950 CG-CVC-1

APPLICATION FOR PERMIT TO CARRY EXCURSION PARTY

2/1/2012 ADOBE

CG-9501 CG-45

PLAN INDEX CARD

753000F010580 6/1/1967 100 CARDS HD ELC

CG-950A CG-CVC-1

APPLICATION FOR SPECIAL PERMIT

3/1/2012 ADOBE

CG-9537A CG-12

USPHS OFFICER LEAVE RECORD


CG-9556 CG-133

ACCEPTANCE AND OATH OF OFFICE

4/1/2020 ADOBE

CG-967 CG-CVC-1

EXEMPTION CERTIFICATE

5/1/2005 ADOBE

CG-968 CG-CVC-1

PASSENGER SHIP SAFETY CERTIFICATE

5/1/2012 ADOBE

CG-9688A HSC

LIBRARY ISSUE CARD

753000F018620 7/1/1968 100 CARDS HD ELC

CG-9688B HSC

DATE LIBRARY BOOK DUE SLIP

753000F018630 6/1/1967 100 CARDS HD ELC

CG-968A CG-CVC-1

PASSENGER SHIP SAFETY CERTIFICATE (Form P)

5/1/2012 ADOBE

CG-969 CG-CVC-4

NOTICE OF COMPLETION OF EXAMINATION FOR SAFETY CERTIFICATE

6/1/2004 ADOBE

CG-969A CG-CVC-4

NOTIFICATION OF APPROVAL FOR PASSENGER SHIP SAFETY CERTIFICATE

3/1/1967 SHEET SH G-PCV

CG-9733 DCMS-34

DOCUMENT RECEIPT

753001GF32130 5/1/1988 25 2PT SE PD ELC

CG-9946 CG-11

ALLOWANCE LIST USCG

6/1/2004 ADOBE

CG-9946A CG-BSX

CUTTER ALLOWANCE LIST

753000F018670 1/1/1972 50 SHEETS FY ELC

As of: 11/1/2020

Form_Number

CGA-14

CGA-14A

CGA-14B

CGA-14C

CGA-14D

CGAUX-1

CGAUX-10

CGAUX-11

CGAUX-15

CGAUX-2

CGAUX-20

CGAUX-23

CGAUX-26

CGAUX-28

CGAUX-29

CGAUX-30

CGAUX-31

CGAUX-32

CGAUX-33

OPR / Title Stock_Number Date U/D

USCGA

ENGLISH INSTRUCTOR EVALUATION

2/1/2008

USCGA

HIGH SCHOOL TRANSCRIPT

2/1/2008

USCGA

MATH INSTRUCTOR EVALUATION

2/1/2008

USCGA

COACH OR P.E. INSTRUCTOR EVALUATION

2/1/2008

USCGA

PHYSICAL FITNESS EXAMINATION (PFE) SCORING FORM

2/1/2008

CG-BSX

NEW MEMBER (NM) CERTIFICATION RECORD

6/1/2004

CG-BSX 6/1/2004

USCG AUXILIARY APPLICATION FOR ACADEMY INTRODUCTION MISSION AT THE USCG ACADEMY

CG-BSX 6/1/2004

USCG AUXILIARY INSTRUCTOR QUALIFICATION RECORD

CG-BSX 6/1/2004

UISCG AUXILIARY ANNUAL UNIT OFFICERS REPORT

CG-BSX 4/1/1997

USCG AUXILIARY PROSPECTIVE MEMBER INTERVIEW RECORD

CG-BSX 6/1/2004

USCG AUXILIARY AIM CANDIDATE TRAVEL WORKSHOP

CG-BSX 12/1/1994

USCG AUXILIARY FINANCIAL REPORT OF AN AUXILIARY UNIT

CG-BSX 6/1/2004

USCG AUXILIARY ACTIVITY REPORT - MISSION

CG-BSX 6/1/2004

USCG AUXILIARY PUBLIC EDUCATION COURSE REPORT

CG-BSX 6/1/2004

USCG AUXILIARY VESSEL EXAMINATION

CG-BSX 6/1/2004

USCG AUXILIARY WORKSHOP ATTENDANCE REPORT

CG-BSX 6/1/2004

USCG AUXILIARY MEMBER ACTIVITY REPORT

CG-BSX 6/1/2004

USCG AUXILIARY ENROLLMENT APPLICATION

CG-BSX 6/1/2004

USCG AUXILIARY CHANGE OF MEMBER INFORMATION

U/I Stock_Point

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

ADOBE

CGAUX-34 CG-BSX 6/1/2004 ADOBE

USCG AUXILIARY MEMBER QUALIFICATIONS

As of: 11/1/2020


CGAUX-36 CG-BSX

USCG AUXILIARY CHANGE OF MEMBERSHIP STATUS

6/1/2004 ADOBE

CGAUX-37 CG-BSX

USCG AUXILIARY UNIT MONTHLY PUBLIC AFFAIRS ACTIVITY

6/1/2004 ADOBE

CGAUX-38 CG-BSX

USCG AUXILIARY CHANGE OF OFFICER(S) REPORT

6/1/2004 ADOBE

CGAUX-39 CG-BSX

USCG AUXILIARY SAR PROCEDURES FLIGHT CHECK

6/1/2004 ADOBE

CGAUX-4 CG-BSX

USCG AUXILIARY MEMBER TRANSFER REQUEST

6/1/2004 ADOBE

CGAUX-42 CG-BSX

USCG AUXILIARY TRAINING EVALUATION FORM

6/1/2004 ADOBE

CGAUX-43 CG-BSX

USCG AUXILIARY MARINE DEALER VISITATION PROGRAM

6/1/2004 ADOBE

CGAUX-8 CG-BSX

USCG AUXILIARY NATIONAL STAFF APPOINTMENT REQUEST

6/1/2004 ADOBE

CGHQ 1710/3 CG-CPE

REQUEST FOR TICKET REIMBURSEMENT

12/1/1995 G-MOR

CGHQ-10030 CG-CVC

USCG CERTIFICATE OF APPROVAL

1/1/1986 6PT SE SE G-PCV

CGHQ-10082 HSC(a-2)

RECEIPT FOR REGISTERED MAIL

6/1/2004 ADOBE

CGHQ-10115 NMC4A

HONORABLE SERVICE CERTIFICATE

1/1/1973 CERTIFICAT EA NMC-4A

CGHQ-10115- CG-133

HONORABLE SERVICE CERTIFICATE

2/28/2003 G-WPM

CGHQ-10165 CG-NAV-1

LIGHT LIST, VOLUME V, MISSISSIPPI RIVER SYSTEM, COMTPUB P16502.5

8/1/1998 CARD CD G-OPN

CGHQ-10165 CG-NAV-1

LIGHT LIST, VOLUME III; ATLANTIC AND GULF COAST, COMTPUB P16502.3


CGHQ-10165 CG-NAV-1

LIGHT LIST, VOLUME IV; GULF COAST COMDT PUB P16502.4


CGHQ-10165 CG-NAV-1

LIGHT LIST, VOLUME I; ATLANTIC COAST, COMTPUB P16502.1


CGHQ-10165 CG-NAV-1

LIGHT LIST, VOLUME II; ATLANTIC COAST, COMTPUB P16502.2


CGHQ-10165F CG-NAV-1

LIGHT LIST, VOLUME VII, GREAT LAKES, COMTPUB P16502.7


CGHQ-10165 CG-NAV-1

LIGHT LIST, VOLUME VI, PACIFIC COAST, COMTPUB P16502.6


As of: 11/1/2020


CGHQ-1020 CG-1B1

OFFICER SPECIALTY/SUB-SPECIALTY DESIGNATION REQUIREMENTS

4/1/2009

CGHQ-1020/1 HSC-A1

USCG HQ WEIGHT CONTROL MONTHLY PROBATIONARY MONITORING

6/1/2004 ADOBE

CGHQ-12736/ CG-12

CIVILIAN SECURITY STATUS CARD


CGHQ-1700 G-HSC

PARKING PERMIT APPLICATION

3/1/2006 ADOBE

CGHQ-1700A HSC

PARKING PERMIT

5/1/2012 ADOBE

CGHQ-1710/3 HSC-A1

REQUEST FOR TICKET REIMBURSEMENT

12/1/1995 ADOBE

CGHQ-2131 CG-61

SPECIAL TAG CORRESPONDENCE

6/1/1979 TAG EA G-CIM

CGHQ-3174 G-MRI

MARINE SAFETY COUNCIL CONTROL CARD

1/2/1900 G-MRI

CGHQ-3185 CG-83

PAYMENT RECORD CARD

5/1/2020 ADOBE

CGHQ-3200 CG-83

FINANCIAL TRANSFER AUTHORIZATION

4/1/1983 6PT SE SE CG-83

CGHQ-3200.1 CG-83

FINANCIAL TRANSFER AUTHORIZATION

6/1/2004 ADOBE

CGHQ-3220 HSC

REQUEST FOR REPAIRS OR SERVICES FOR OFFICE EQUIPMENT

10/1/1967 SHEET SH HSC

CGHQ-3318 HSC

REQUEST FOR EQUIPMENT SUPPLIES OR SERVICE

7/1/1971 SHEET SH HSC

CGHQ-3325 CG-83

PAYMENT CONTROL CARD

3/1/1968 SHEET SH CG-83

CGHQ-3342 CG-61

FORM/REPORT INFORMATION AND AUTHORIZATION RECORD

5/1/2020 SHEET SH ADOBE

CGHQ-3359 CG-133

SERVICE RECORD CARD (OFFICERS)

6/1/2004 ADOBE

CGHQ-3378 CG-452

ENGINEERING CHANGE APPROVAL (BOATS)

3/1/2020 ADOBE

CGHQ-3379 CG-452

ENGINEERING CHANGE APPROVAL (CUTTERS)

9/1/2019 ADOBE

CGHQ-3379A CG-45

SHIPALT PROCESS SATISFACTION SURVEY

4/1/1993 LOCAL REP

CGHQ-3432 CG-82

MONTHLY SUMMARY OF MILITARY BILLETS


As of: 11/1/2020


CGHQ-3502 CG-61

HQ MAILING LABELS (CFF)

6/1/1984 500 LABELS BX CG-61

CGHQ-3502E CG-11

WORKLIFE MAILING LABELS

1/2/1900 LOCAL REP

CGHQ-3517D- CG-61

USCG HQ LETTERHEAD STATIONERY

9/1/1993 MACROS

CGHQ-3517E CG-00

SECRETARY ALERT (STATIONERY)

7/1/1981 ADOBE

CGHQ-3552 CGPC-adm-1

RECOMMENDED FINDINGS OF PHYSICAL REVIEW COUNCIL

6/1/2004 ADOBE

CGHQ-3568 CG-12

TEN MONTH EVALUATION REPORT

6/1/2004 ADOBE

CGHQ-3692 CG-12

CERTIFICATE OF CONTINUED OWNERSHIP

6/1/2004 ADOBE

CGHQ-3706 CG-12

PLACEMENT ORIENTATION

6/1/2004 ADOBE

CGHQ-3719B CG-12

CERTIFICATE OF TRAINING

8/1/1980 CERTIFICAT EA G-WPC

CGHQ-3719C CG-12

CERTIFICATE OF PERFORMANCE

3/1/1980 CERTIFICAT EA G-WPC

CGHQ-3783 CG-0921

CONGRESSIONAL AFFAIRS INQUIRY REPORT

11/1/1978 SHEET SH G-ICA

CGHQ-3814 CG-2-CGIS

TOP SECRET CUSTODY RECORD

8/1/1971 SHEET SH CG-2-CGIS/

CGHQ-3867 CG-12

CERTIFICATION FOR DEATH CLAIM PAYMENT

6/1/2004 ADOBE

CGHQ-3923 CG-BSX-21

STATE REGISTRATION DATA

6/1/2014 ADOBE

CGHQ-3932 CG-61

CHANGE NOTICE TO PAPER FORMS

5/1/2020 ADOBE

CGHQ-3997 CG-13

USCG RESERVE CERTIFICATE - WARRANT OFFICERS APPOINTMENT

10/1/1968 CERTIFICAT EA CGPC-rpm

CGHQ-3998 PSC-opm

WARRANT OFFICER'S APPOINTMENT CERTIFICATE

4/1/1975 CERTIFICAT EA PSC-opm

CGHQ-4148 CG-01

OFFICE OF CHIEF OF STAFF MEMORANDUM (NOTE PADS)

9/1/2005 100 SHEETS PD G-CCS

CGHQ-4161A CG-00

OFFICE OF THE VICE COMMANDANT MEMORANDUM (NOTE PADS)

10/1/1983 20 SHEETS PD G-C

CGHQ-4265 CG-83

ACQUISITION, CONSTRUCTION, AND IMPROVEMENTS

6/1/1984 SHEET (CFF) SH CG-83

As of: 11/1/2020


CGHQ-4345 CG-0944 2/1/1980 CERTIFICAT EA G-LCL

LEGAL CERTIFICATE

CGHQ-4356C CG-2-CGIS 6/1/2004 ADOBE

MONTHLY REPORT OF INVESTIGATIVE CASELOAD

CGHQ-4375 CG-8 4/1/2020 CERTIFICAT ADOBE

CHIEF FINANCIAL OFFICER AWARD FOR EXCELLENCE

CGHQ-4505 CG-CVC 4/1/1967 CARD CD G-PCV

OFFICIAL NUMBER CARD

CGHQ-4563 CG-ENG-3 8/1/1987 SA ADOBE

COMMITTEE CORRESPONDENCE (STATIONERY)

CGHQ-4586 CG-12 1/1/1988 SHEET SH G-WPC

COAST GUARD HEADQUARTERS POSITION VACANCY

CGHQ-4587 CG-12 6/1/2004 ADOBE

REFERRAL AND SELECTION REGISTER

CGHQ-4587A PSC 6/1/1984 SHEET SH G-WPC

REFERRAL AND SELECTION REGISTER FOR LATERAL REASSIGNMENT/TRANSFERS

CGHQ-4598F G-APO 7/1/1988 SHEET SH LOCAL REP

MINORITY REPORT

CGHQ-4650 CG-44 5/1/1981 4PT SE SE G-SL

BOARD OF SURVEY REVIEW

CGHQ-4689 CG-311 11/1/1985 SHEET SH G-OPF

CG FLAG PLOT OPERATIONS HIGHLIGHTS

CGHQ-4727 PSC 2/1/1970 SHEET SH PSC

MILITARY PAY RECORD CONTROL REGISTER


EMPLOYEE PLACEMENT FOLLOW-UP


SUPERVISOR PLACEMENT FOLLOW-UP

CGHQ-4745 CG-00 2/1/1982 5PT SE SE G-C

OFFICE OF THE COMMANDANT - CORRESPONDENCE ACTION SHEET

CGHQ-4749 CG-0946 9/1/1970 CERTIFICAT EA G-LMJ

MILITARY JUDGE CERTIFICATE

CGHQ-4749B CG-0946 9/1/1970 CERTIFICAT EA G-LMJ

JUDGE OF THE USCG COURT OF MILITARY REVIEW CERTIFICATE (MALE)

CGHQ-4749F CG-0946 12/1/1986 CERTIFICAT EA G-LMJ

MILITARY JUDGE CERTIFICATE (FEMALE)

CGHQ-4808 CG-1121 4/1/2008 ADOBE

COAST GUARD PHYSICAL DISABILITY EVALUATION BOARD FINDINGS AND RECOMMENDED DISPOSITION & CGHQ-4808C CONTINUA

CGHQ-4808A PSC 9/1/2014 ADOBE

COAST GUARD INFORMAL PHYSICAL EVALUATION BOARD (IPEB) FINDINGS AND RECOMMENDED DISPOSITION

As of: 11/1/2020


CGHQ-4808B PSC 9/1/2014 ADOBE

COAST GUARD FORMAL PHYSICAL EVALUATION BOARD (FPEB) FINDINGS AND RECOMMENDED DISPOSITION

CGHQ-4808C PSC 9/1/2014

COAST GUARD PHYSICAL EVALUATION BOARD FINDINGS AND RECOMMENDED DISPOSITION

ADOBE

CGHQ-4836 CG-83

RESEARCH DEVELOPMENT TEST AND EVALUATION

8/1/2010 SHEET (CFF) SH CG-83

CGHQ-4875 CG-00J

POCKET COMMISSION ADMINISTRATIVE LAW JUDGE ID CARD

3/1/1973 CARD CD G-CJ

CGHQ-4909 CG-83

CHECK/BOND HOLD REQUEST

3/1/1973 SHEET CG-83

CGHQ-4929 CG-133

OFFICER PERSONNEL CHANGE FORM

4/1/1973 SHEET SH G-WPM

CGHQ-4973 CG-13

COMPUTATION OF RETIREMENT POINT CREDITS

9/1/1993 SHEET SH PSC

CGHQ-4974 CG-11

X-RAY FLASH CARD

3/1/1980 CARD CD G-WKH

CGHQ-4985 CGPC-rpm

PERSONNEL RECORD REQUEST/RECEIPT

4/1/1974 3PT SE SE CGPC-rpm

CGHQ-5015 CG-2-CGIS

PCN CONTROL CARD


CGHQ-5038 CG-13

INFORMATION TRANSMITTAL FORM

6/1/2004 ADOBE

CGHQ-5045B G-CCS(d)

DEPUTY CHIEF OF STAFF MEMO PADS

9/1/2005 100 SHEETS PD G-CCS

CGHQ-5074 G-CCS-2

PROJECT STATUS REPORT

4/1/2020 SA ADOBE

CGHQ-5095 HSC-A1

MORALE AND RECREATION GEAR LOCKER INVENTORY CARD

3/1/1976 CARD CD HSC-A1

CGHQ-5110 CG-11

TEMPRET PERIODIC PHYSICAL REVIEW RECORD

6/1/2004 ADOBE

CGHQ-5114 CG-NAV-1

ENVIRONMENT AND NAVIGATION EVALUATION AND RECOMMENDATION

7/1/1980 SHEET SH G-OPN

CGHQ-5133 CG-62

MEETING OR TELEPHONE SUMMARY

4/1/2020 ADOBE

CGHQ-5149 CG-6P

NOTIFICATION OF EXPIRING REPORT

11/1/2013 ADOBE

CGHQ-5167 HSC(eo)

HONORARY AWARD FOR EQUAL OPPORTUNITY ACHIEVEMENT

9/1/1985 SHEET SH HSC(eeo)

CGHQ-5167A HSC(eeo)

CERTIFICATE OF HONORARY AWARD

9/1/1979 CERTIFICAT EA HSC(eeo)

As of: 11/1/2020


CGHQ-5167B HSC(eeo) 9/1/1979 CERTIFICAT EA HSC(eeo)

CERTIFICATE OF APPRECIATION FOR EEO

CGHQ-5170 G-OPT 9/1/1978 SHEET SH G-OPT

BRIDGE ALTERATION BRANCH - PROJECT FLOW CHART

CGHQ-5171 CG-BSX-2 12/1/1980 SHEET SH G-OPB

BOATING STATISTICS MAILING LIST VERIFICATION

CGHQ-5184 G-APO 4/1/2020 ADOBE

FINAL CLEARANCE FOR FINAL PAYMENT - CIVILIAN EMPLOYEES

CGHQ-5212 CG-094 2/1/1980 4PT SE SE G-L

MAIL CONTROL FORM

CGHQ-5215 CG-612 11/1/2016 ADOBE

DIRECTIVE FILE SEQUENCE

CGHQ-5237A CG-MLE 8/1/1990 BINDER EA G-RPL

STANDARD CASE FILE SUMMARY BINDERS (YELLOW, BLUE, ORANGE)

CGHQ-5252C CG-BSX 1/1/1984 CERTIFICAT EA G-PCX

AUXILIARY MEMBERSHIP SERVICE (40 YRS.)

CGHQ-5260 CG-2-CGIS 6/1/1981 CERTIFICAT EA CG-2-CGIS

CERTIFICATE OF APPRECIATION FOR CG INTELLIGENCE

CGHQ-5261 CG-00 4/1/1986 CERTIFICAT EA G-C

SWIVEL SHOT AWARD CERTIFICATE

CGHQ-5295 CG-61 6/1/2004 ADOBE

NOTIFICATION OF ACTION OR OMB INFORMATION COLLECTION REQUEST

CGHQ-5318 PSC 7/1/2019 ADOBE

OFFICER SPECIALTY/SUB-SPECIALTY REQUIREMENTS (OSR)

CGHQ-5320 CG-PSC-OP 7/1/2019 ADOBE

OFFICER SUBSPECIALTY REQUIREMENTS (OSR)

CGHQ-5346A CG-0922 11/1/1986 CARD CD G-IPA

MEMBER CG AFFAIRS NATIONAL COMMITTEE NAVY LEAGUE ID CARD

CGHQ-5356 CG-612 6/1/2017 ADOBE

DIRECTIVES CONTROL SHEET

CGHQ-5358-1 NPFC(cv) 6/1/1983 CARD CD NPFC

SELF-INSURERS REMINDER POST CARD

CGHQ-5358-5 NPFC 5/1/1986 CARD CD NPFC

POST CARD ACKNOWLEDGEMENT

CGHQ-5358-7 NPFC(cv) 1/1/1984 SHEET SH NPFC

FEE COMPUTATION SCHEDULE

CGHQ-5359 CGPC-c 1/1/2000 CARD CD CGPC-cpm

CONFERENCE CARDS (TENT CARDS)

CGHQ-5365 CG-64 6/1/2004 ADOBE

FORMS PLUS LASER REVIEW CONTROL SHEET

As of: 11/1/2020


CGHQ-5371A G-MRP

JOB ASSIGNMENT G-MP-2

2/1/1986 100 SHEETS PD G-MRP

CGHQ-5376 CG-83

CHIEF FINANCIAL OFFICER CERTIFICATE

3/1/1994 CERTFICATE EA CG-83

CGHQ-5383 HSC(a-2)

USCG HQ VEHICLE REQUEST

4/1/2020 ADOBE

CGHQ-5394 CG-84

CASHIER ACCOUNTABILITY REPORT

6/1/1998 LOCAL REP

CGHQ-5395 CG-BSX-2

RECREATION EQUIPMENT ISSUE FORM

2/1/1987 2 PT SE PD MOR'L LOC

CGHQ-5415 CG-61

USDHS, USCG FY __ INFORMATION COLLECTION BUDGET (ICB)

6/1/2004 ADOBE

CGHQ-5465 CG-61

PUBLICATION AND DIRECTIVE REVIEW SHEET

8/1/1988 CARD CD CG-61

CGHQ-5498 G-A-1

INTER-AREA INFORMATION TRANSFER


CGHQ-5498A G-A-1

CONSULTANT REQUEST


CGHQ-5498B G-A-1

EVALUATION NARRATIVE


CGHQ-5498C G-A-1

STRONG POINT


CGHQ-5498D G-A-1

SHORT-COMING


CGHQ-5498E G-A-1

RISK ASSESSMENT


CGHQ-5498F G-A-1

MINORITY REPORT


CGHQ-5498G G-A-1

EVALUATION RATING


CGHQ-5498H G-A-1

SOURCE SELECTION LESSONS LEARNED QUESTIONNAIRE


CGHQ-5498I G-A-1

TASK DESCRIPTION AND BASIS OF LABOR ESTIMATE


CGHQ-5498J G-A-1

SUBCONTRACTED MATERIALS ESTIMATE


CGHQ-5498K G-A-1

PURCHASED PARTS COST ESTIMATE


CGHQ-5498L G-A-1

OTHER DIRECT COSTS ESTIMATE


As of: 11/1/2020


CGHQ-5499 HSC(eo) 9/1/1989 SHEET SH LOCAL REP

AWARD FOR EQUAL OPPORTUNITY ACKNOWLEDGEMENT, etc.

CGHQ-5502 CG-2-CGIS 10/1/1999 FOLDER EA CG-2-CGIS

CRIMINAL INVESTIGATION CASE FOLDER

CGHQ-5502A CG-2-CGIS 6/1/2001 FOLDER EA CG-2-CGIS

PRELIMINARY INQUIRY REPORT

CGHQ-5531 G-CCS-1 4/1/2020 ADOBE

SEMPER PARATUS FITNESS CENTER APPLICATION FORM

CGHQ-5531A HSC 4/1/2020 ADOBE

EXERCISE CONSENT AND RELEASE FORM

CGHQ-5547 G-ICC 11/1/1991 CARD CD G-ICC

CG INTELLIGENCE COORDINATION CENTER - CLASSIFIED MATERIAL CONTROL CARD

CGHQ-5573 CG-ENG-5 4/1/2020 ADOBE

CHARACTERISTICS OF LIQUID CHEMICAL PROPOSED FOR MARINE TRANSPORT IN BULK

CGHQ-5589 FORCECOM 4/1/2020 ADOBE

NON-RESIDENT TRAINING PROPOSAL FORM

CGHQ-5590 CG-612 11/1/2013 ADOBE

NATIONAL PERFORMANCE REVIEW

CGHQ-5617 G-HSC(t-4a) 5/1/2020 ADOBE

RECORD OF CASH RECEIPTS

CGHQ-5619 CG-00I 12/1/1996 G-CI

CERTIFICATE OF TRAINING -OJT

CGHQ-5620 CG-13 6/1/2004 ADOBE

MILITARY ADVANCED EDUCATION VALIDATION FORM

CGHQ-5621 FORCECOM 4/1/2020 ADOBE

BILLET DESCRIPTION AND INFORMATION FORM

CGHQ-5622 HSC-A-2 4/1/2020 ADOBE

REQUEST FOR SERVICE

CGHQ-5670 CG-2-CGIS 5/1/1988 CARD CD CG-2-CGIS

CUSTODY RECORD

CGHQ-5673 CG-45 6/1/1994 SHEET SH LOCAL REP

JOB ORDER REQUEST

CGHQ-5673A CG-45 6/1/1994 SHEET SH LOCAL REP

JOB ORDER COMPLETION REPORT

CGHQ-5685 CG-12 5/1/2001 LOCAL REP

U.S. COAST GUARD LIFESAVING AWARD

CGHQ-5728/1 CG-0922 11/1/1988 CARD CD G-IPA

CG ARTIST ID CARD

CGHQ-6000/1 HSC(k) 3/1/1988 CARD CD HSC(k)

USCG MILITARY HEALTH CLINIC APPOINTMENT CARD

As of: 11/1/2020

Form_Number

CGHQ-6046

CGHQ-6050

CGHQ-733A

CGHQ-733C

CGHQ-9737

CGHQ-9750A

CGHQ-9750B

CGHQ-9904

CGHQ-9916A

CGHQ-9964

CGRC-1131

CG-SEA-2

CORN

CSC-329A

ICS-201-CG

ICS-202A-CG

ICS-202B

ICS-202-CG

ICS-203-CG


CG-612 5/1/2020 ADOBE

COAST GUARD HEADQUARTERS ROUTING SLIP

CG-6P 11/1/2013 ADOBE

PRIVACY IMPACT ASSESSMENT CONTACT INFORMATION

NMC 8/1/1988 FOLDER EA NMC

MERCHANT SEAMEN'S FILE JACKET

NMC 1/1/1967 CARD CD NMC

INDEX CARD SEAMEN'S JACKETS

HSC(a-2) 4/1/2020 ADOBE

MILITARY PERSONNEL DATA FORM

CG-82 6/1/2004 ADOBE

PERSONNEL ALLOWANCE AMENDMENT

CG-82 1/1/2000 COMP GEN

CONTINGENCY PERSONNEL ALLOWANCE AMENDMENT

CG-133 9/1/1967 CARD CD G-WPM

RECORD OF SETTLEMENT

HSC(a-2) 6/1/2004 ADOBE

MAIL DELIVERY LOG

CG-12 11/1/1973 SHEET SH G-WPM

REPORT OF DEATH OTHER THAN THOSE CARRIED AS MISSING

CGRC 3/1/2016

OFFICER PROGRAM APPLICATION

CG-41 2/1/2020 ADOBE

FAA AIRMAN CERTIFICATION PERFORMANCE OF JOB TASKS

G-HSC 1/1/2000 ADOBE

Computer DATA Access Request


AUTHORITY FOR RELEASE OF INFORMATION

CG-CPE 4/1/2004 ADOBE

INCIDENT BRIEFING


COMMAND DIRECTION


CRITICAL INFORMATION REQUIREMENTS


INCIDENT OBJECTIVES


ORGANIZATION ASSIGNMENT LIST

ICS-204A-CG CG-CPE 4/1/2004 ADOBE

ASSIGNMENT LIST ATTACHMENT

As of: 11/1/2020

Form_Number

ICS-204-CG

ICS-205A-CG

ICS-205-CG

ICS-206-CG

ICS-207-CG

ICS-208-CG

ICS-209-CG

ICS-211-CG

ICS-213-RR-C

ICS-214-CG

ICS-215A-CG

ICS-215-CG

ICS-217A

ICS-220-CG

ICS-221-CG

ICS-225-CG

ICS-230-CG

ICS-232A-CG

ICS-232-CG



ASSIGNMENT LIST


COMMUNICATIONS LIST


INCIDENT RADIO COMMUNICATIONS PLAN


MEDICAL PLAN


INCIDENT ORGANIZATION CHART


SITE SAFETY AND HEALTH PLAN

CG-MLE 6/1/2005 ADOBE

INCIDENT STATUS SUMMARY


CHECK-IN LIST


RESOURCE REQUEST MESSAGE


UNIT LOG


INCIDENT ACTION PLAN SAFETY ANALYSIS


OPERATIONAL PLANNING WORKSHEET


COMMUNICATIONS RESOURCE AVAILABILITY WORKSHEET


AIR OPS SUMMARY


DEMOB CHECK-OUT


INCIDENT PERSONNEL PERFORMANCE RATING


DAILY MEETING SCHEDULE


AREA CONTINGENCY PLAN (ACP) SITE INDEX


RESOURCES AT RISK SUMMARY

ICS-233-CG CG-CPE 1/1/2007 ADOBE

INCIDENT OPEN ACTION TRACKER

As of: 11/1/2020



WORK ANALYSIS MATRIX


FACILITY NEEDS ASSESSMENT WORKSHEET


TENTATIVE RELEASE LIST


INCIDENT MISHAP REPORTING RECORD


DEMOB TRACKING TABLE

ICS-261 CG-CPE 5/1/2007 ADOBE

INCIDENT ACCOUNTABLE RESOURCE TRACKING SHEET

ICS-AC202-C CG-CPE 2/1/2007 ADOBE

AREA COMMAND OBJECTIVES

ICS-AC205A- CG-CPE 2/1/2007 ADOBE

AREA COMMAND COMMUNICATIONS LIST


AREA COMMAND ORGANIZATION CHART


AREA COMMAND INCIDENT STATUS SUMMARY


AREA COMMAND RESOURCE ALLOCATION AND PRIORITIZATION


AREA COMMAND DAILY MEETING SCHEDULE

As of: 11/1/2020

Documents

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