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Guidance

MCA INDEPENDENT MEDICAL REFEREES

11 February 2025

Any seafarer (including new entrants) found permanently unfit (Category 4), or temporarily unfit (Category 3), or fit only for restricted service (Category 2), will be issued with a Notice of Failure/Restriction form (ENG 3), giving them a right of review (appeal) by one of the following independent medical referees appointed by the Secretary of State for the Department for Transport. A seafarer may only appeal against a restriction or a period of temporarily unfitness if the validity of his/her certificate is greater than 3 months.

Applications for review should initially be made to the MCA's Medical Administration Section at the address provided on the ENG 3 form. Referees should not be contacted directly.

Correct at date of publishing.

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