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FORMS AND SUBMISSIONS

USCG Auxiliary National Forms Site

USCG Auxiliary National Forms for submission to DIRAUX per instructions

 

DISTRICT 11NR FORMS  

Form Type Usage Submission

Application Cover Sheet

New Member Application Cover - D11NR

D11NR required forms for Membership & Personal Security Investigation ...link

Flotilla Commander signs and submits to DIRAUX

CGAuxA Consent to Membership

CGAUX Association Inc. Consent to Membership

DIRAUX required form to process mew membership application

New member completes and submit with application package

USCG AUXILIARY/SECCEN

Verification of U.S. Citizenship

U.S. Citizenship Verification for Canadian born and naturalized

Submit with Application Packet  All Membership forms ...link

ID Card Application

New members and current member ID card renewal ID cards will be processed using digital photos Email to DIRAUX per instructions

DO Clearance

Direct Operational Clearance

Crew with USCG

Members contact DIRAUX for current forms: (510) 437-3590

Form 7023w
   (on-line form)

Notice of Intent
to Teach

Public Education Classes

Electronic on-line form automatically sent to DSO-PE

MT-2

Qualification or Re-Certification

Basic Qualification, Instructor, Vessel Examiner, Program Visitor

Flotilla Commander signs and submits to DIRAUX

MT-3

Surface Operation Recertification

Certification is in REYR or RWRK and requirements met.

Notice to DIRAUX via FSO/SO-IS

OPS-8

Facility Orders Request

One form per facility for each operator requesting orders

Facility owner submits to DIRAUX

OPS-QE


OPS-QE/OPTREX

QE Request


For an OPTREX

Coxswain, Crew, or PWC Operator for Qualification, Testing, or Maintenance

Flotilla Commander or Member Training Officer emails form to COMO Gail Ramsey,
Chief QE Coordinator

OPS-LR

Liability Release

Release allows non-qualified individuals to be on an AUX operational facility.

 Submit to Sector for approval with Guest Request

 

RESCUE AND SURVIVAL SYSTEM MAINTENANCE PROCEDURE CARDS AND FORMS  

Form Name

USCG AF-538

USCG Personal Clothing and Equipment Record Form (Prefilled)

USCG AF-538 Sample

USCG Personal Clothing and Equipment Record Form (Sample)

DD Form 1149

USCG Requisition and Invoice/Shipping Document

CIM 10470 Appx C

Rescue and Survival Systems / Equipment Maintenance Log

RSS583020 Cold WX PPE

USCG Maintenance Procedure Card - Cold Weather PPE

RSS583023 Standard PPE

USCG Maintenance Procedure Card - Standard Issue PPE

RSS583030 BCSV

USCG Maintenance Card - Boat Crew Survival Vest

RSS583031 1&3 PFD

USCG Maintenance Card - Type 1 or 3 PFD

RSS583032 MD3031 PFD

USCG Maintenance Card - MD3031V22 Inflatable PFD

RSS583042 PLB

USCG Maintenance Card - 406 PLB

RSS583023 PPE Size

USCG Maintenance Card - PPE Sizing Charts

AUX AEC Inspection

D11NR Job Aid - Anti-Exposure Coverall Semi-Annual Inspection

AUX PFD Inspection

D11NR Job Aid - Type III PFD Semi-Annual Inspection

AUX SV SE Inspection

D11NR Job Aid - Boat Crew Survival Vest and Equipment Semi-Annual Inspection

 

Office of the Director of Auxiliary
Eleventh Coast Guard District -- Northern Region (dpa-n)
Building 50-2, Coast Guard Island
Alameda, CA 94501-5100

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