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Cg-719c Form: What You Should Know

S. Coast Guard. (Form CG-2-719)(02/12) (02/12). Who will receive this form? You will receive this form from the Coast Guard if you report information about your criminal history to the Coast Guard and you will receive the CG-2-719 (02/12). (01/14.) Page 2 of 2 Who's to report? The only person to disclose convictions on this application is you. As outlined in the instructions, you should only report your convictions if you have never before reported illegal convictions you had, and they are not theĀ  only convictions you had when you filled this application.Ā The rest of this form is for the Coast Guard/U.S. Attorney General, the Federal Government, local and state agencies, and the public. (06/20.) (06/20.) page 3 of 2 If the record includes any convictions, the applicant will provide one yearĀ  of jail, or the sentence was suspended, whichever is more severe. (07/16.) (07/16.) page 4 of 2 How shall this form be filled? You may fill this form online using Adobe Acrobat Reader. ItĀ  must contain all the fields necessary to process this application. (Download Adobe Acrobat Reader to your computer.) All sections are required. If you choose to fill this form electronically rather than print, youĀ  must use a printer that supports Acrobat format, such as the following: Adobe PDF Form Fillable PDF. The printable PDF will only contain the mandatory fields. This form MUSTĀ beĀ filled (click on the box containing required fields) All mandatory fields must have been filled out by the applicant prior to completion of the application. The only mandatory fields are name, information(s) about conviction(s), and the date of their sentence(s) or release and court-imposed conditions. Confidential record;Ā DO NOT copy orĀ SHARE theĀ Confidential Record(s) with anyone;Ā  (07/16.) (07/16.) page 5 of 2 If the record is in a sealed file or a computer file, this form would not be readable. The application must be saved as a PDF file in order to receive a result.

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