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District 11NR Forms & Downloads

DIRAUX Forms                                  National Forms       

U.S. Coast Guard Auxiliary COMO GAIL RAMSEY Memorial Leadership Library . . . PDF

District Documents and Links:

Standing Rules 2010 edition 
Appendices A-G - 2016
Change of Watch (COW) Planning

Awards Submissions Information
Board and Staff Meeting Minutes
Tax Exempt Information for Auxiliarists


 District 11NR Forms

Abandoned Vessel Report Form

Abandoned Vessel Report Form

D11NR Sector San Francisco Incident Management Assessment Form: Derelict Vessel Evaluation Matrix

Application Cover Sheet

New Member Application Cover

D11NR required forms for Membership & Personal Security Investigation (PSE)...link

ACV Request Form

 Auxiliary Communications  Vehicle Usage Request  For addition information, visit PA web page

DO Clearance

Direct Operational Clearance

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

Form 7023w
   (on-line form)

Notice of Intent 
to Teach

Public Education Classes

HR-1
   (on-line form)

Auxiliary Survey System

Request for a survey to be created for flotillas, divisions, and district members

MT-2

Qualification or Re-Certification

Basic Qualification, Instructor, Vessel Examiner, Program Visitor

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

OPS-QE/OPTREX

For an OPTREX

Coxswain, Crew, or PWC Operator for Qualification, Testing, or Maintenance
Requirements prior to QE Request...link
Request for a QE from   ...link 

AUX Mishap Claim

Claim Worksheet

Report Facility Loss/Damage

Submit within 24 hours to Sector San Francisco, Atten: AUX Damage Claim

OPS-LR

Liability Release

Release allows non-qualified individuals to be on an AUX operational facility. Submit to Sector for approval with Guest Request

USCG 840

Deficiency Summary Worksheet

Sector San Francisco Inspections Department: Ferry Vessel

ID Card Application

Requirements

Processed digitally, email information to:
D11auxnorthern@uscg.mil

 BASEEALAHSG-035  UPH Berthing Request 
 Form
 Submit form to DIRAUX: d11auxnorthern@uscg.mil

 Forms sent to DIRAUX  
       Application    
       DO Clearance    
       MT-2, MT-3, OPS-8
       BASEEALAHSG-035
OFFICE OF THE DIRECTOR OF AUXILIARY
Eleventh Coast Guard District -- Northern Region (dpa-n)
Building 50-2, Coast Guard Island, Alameda, CA 94501-5100
Phone: (510) 437-3950Fax: (510) 437-2728 
Email: d11auxnorthern@uscg.mil

 Form links from National Forms Warehouse

 AUX Form
Name
 
ANSC 7001    Enrollment Application