Merchant Mariner Credential Form

Client Name*

First NameMiddle NameLast Name

Birth Date*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Client E-mail*

example@example.com

Mobile Number*

Merchant Mariner Reference Number if USCG Licensed

Type of Credential Applying For:*

New OUPV or Master LicenseRenewal OUPV, Master, or Upgrade LicenseOrdinary Seafarer (OS) New or RenewalAble Seafarer (AB) New or RenewalUnsure What I Need

Additional Comments

Options - Payment is required in advance for any services*

Application Preparation & Submission Service

We prepare your application paperwork & submit it to the Coast Guard

$175.00

Drug Test For Any MMC Submission

USCG/DOT Compliant - 5 Panel Urinalysis

$70.00

New MMC or Upgrade USCG Pay.Gov User Fees

New MMC or Renewal MMC with any upgrade. All User Fees are paid to the Coast Guard on your behalf

$150.00

Renewal Only USCG Pay.Gov User Fees

Renewal MMC with NO upgrades. All User Fees are paid to the Coast Guard on your behalf

$100.00

OS or AB USCG Pay.Gov User Fees

New Entry Level MMC (AB or OS Only). All User Fees are paid to the Coast Guard on your behalf

$145.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Merchant Mariner Application Assistance

Payment Methods