Employment Forms can be downloaded in Adobe Reader by clicking the name of the form on the Check List below.

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Applicants are required by American Steamship Company to have a valid USCG Merchant Mariner’s Document.

The USCG Toledo Regional Examination Center can provide you with information on how to obtain a Merchant Mariner’s Document by contacting them at (419) 418-6010 or visit their website at www.uscg.mil/STCW/

Signed and completed forms can be sent to American Steamship by one of the following methods:

Checklist of Forms Required Prior To Sailing:

1.	Resume – (if you have one)
2.	Employee Information Sheet
3.	TWIC, MMD & License Information
4.	Consumer Consent Form
5.	719K USCG Merchant Mariner Physical Exam Report
6.	Audiometric History
	Medical History
	Medical History and Exam Form
7.	DOT Confidential Information Consent Form
8.	W-4 2008
9.	Direct Deposit Form (optional)
10.	AMO 401K Plan Withholding Authorization (optional)
11.	Travel Expense Report
12.	EEO & Diversity Survey

AA/EE0 EMPLOYER M/F/D/V