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| National Forms ► |
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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 |
U.S. Coast Guard Auxiliary COMO GAIL RAMSEY Memorial Leadership Library . . . PDF
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Forms sent to DIRAUX
Member 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) 437-3950 Fax: (510) 437-2728 Email: D11-SMB-D11AUX-Northern@uscg.mil |
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Abandoned Vessel Report Form |
D11NR Sector San Francisco Incident Management Assessment Form: Derelict Vessel Evaluation Matrix |
| Auxiliary Communications Vehicle Usage Request | For addition information, visit PA web page |
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New Member Application Cover |
D11NR required forms for Membership & Personal Security Investigation (PSE) ...link |
Claim Worksheet |
Report Facility Loss/DamageSubmit within 24 hours to Sector San Francisco, Atten: AUX Damage Claim |
| BASEEALAHSG-035 |
UPH Berthing Request
Form |
Submit form to DIRAUX: d11auxnorthern@uscg.mil |
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Direct Operational Clearance |
Members contact DIRAUX for current forms: (510) 437-3590 |
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Form 7023w (member login required) |
Notice of Intent to Teach |
Public Education Classes |
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HR-1 (on-line form) |
Auxiliary Survey System |
Request for a survey to be created for flotillas, divisions, and district members |
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Requirements |
Processed digitally, email information to:
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Qualification or Re-Certification |
Basic Qualification, Instructor, Vessel Examiner, Program Visitor |
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Surface Operation Recertification |
Certification is in REYR or RWRK and requirements met. Notice to DIRAUX via FSO/SO-IS |
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QRC: IMD - Oil Pollution Response Form |
Standard reporting from for reporting oil or hazardous substance spills. (Not for public release) |
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Facility Orders Request |
One form per facility for each operator requesting orders |
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Liability Release |
Release allows non-qualified individuals to be on an AUX operational facility. Submit to Sector for approval with Guest Request |
| For an OPTREX |
Coxswain, Crew, or PWC Operator for Qualification, Testing, or Maintenance |
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Deficiency Summary Worksheet |
Sector San Francisco Inspections Department: Ferry Vessel |
| D11 Logo on white |
District Logo Web Size |
Web size 1.8" x 1.8", 300 dpi, gif format, white background. (Best size for Web use) |
| D11 Logo on clear |
District Logo Web Size |
Web size 1.8" x 1.8", 300 dpi, png format, No background |
| D11 Logo Large 10" |
District Logo Large 10" |
Large print size 10" x 10", 300 dpi, png format, No background (14.3 MB) |
| D11 Logo 3D |
District Logo 3D |
Web size 2" x 1.7", 300 dpi, png format, No background |
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TDY |
TDY Travel Request Worksheet |
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Version 1/26/2006 |
Derelict Vessel Evaluation Matrix |
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Page A-1 |
Rescue & Systems/Equipment Maintenance Record |
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Version 1.0 OCT14 |
Auxiliary D11NR Processing Semi-Annual PPE Inspections |
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PDF Printable Form |
Auxiliary Mustang Order Form |
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Version 2.0
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Processing Guests Waivers for Patrol |
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DIRAUX recommended checklist
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Facility Pre-Trailering Checklist |
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| Duty Assignment Form |
Duty during COVID-19 pandemic
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Request for Assignment to Duty Form (Phase III) |
| ANSC-7101 | Required w/Duty Assignment Req. Form | COVID-19 High-Risk Assessment Form (ANSC-7101 rev 06-22) |
Rescue and Survival System Maintenance Procedure Cards and Forms can be found on the Operation Training Officer page
Form links from National Forms Warehouse
| AUX Form |
Name
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| ANSC 7001 | Enrollment Application |  |