ML5 Seafarer medical report form and certificate MSF 4112 Rev 02/23
Complete these forms and take them to your doctor to be filled in. It doesn't have to be a Maritime and Coastguard Agency (MCA) approved doctor.
13 February 2023This form is for
- anyone applying for, revalidating, or changing their MCA Boatmaster's Licence or certificate
- anyone applying for a Royal Yacht Association (RYA) commercial endorsement for working on code vessels (see the form for more detail)
- crew on a seagoing or domestic passenger vessel