U.S. Coast Guard Auxiliary, District 11 South

Elegant Eleventh Southern District, U.S. Coast Guard Auxiliary
Serving Southern California, Southern Nevada, Southern Utah, and Arizona

District 11 (SR) Forms are listed below. Those in Adobe format will require at least the Adobe Reader; forms in MS Word or Excel require Microsoft Office. To open the form, left click the link. To download, right click, then select Save Target As. If you do not have Adobe Reader, download the latest version by clicking on the Adobe logo

District Authorization Form to request permission to work with Coast Guard unit, in Adobe .pdf format; this is the new form. [Posted 7 May 08][Updated form 1 Jul 08]

Instructor Qualification Record and Record of Qualification for Vessel Examiners and Program Visitors are available in Adobe .pdf format. To download and save, right click on link then select "Save Target As" to a location on your computer. These forms are to be used to report completion of all requirements for Instructors, Vessel Examiners or Program Visitors to the DIRAUX office so that those competencies may be completed and entered into AUXDATA for the member. [Posted 17 Jan 08]

Aircraft Facility Time Between overhaul Certification in Adobe .pdf format. To download and save, right click on link then select "Save Target As" to a location on your computer. This form will be required to accompany all Aircraft inspections/offer for use beginning in Fall 2007. [Posted 19 Nov 07]

Copies of Enclosures(1),(2), and (3) which are the Currency Maintenance Checkrides and Sign-Offs for Crew, Coxswain, and PWC Operator, and the Third Year Letter from QE are posted in Adobe .pdf format. These were extracted from the revised Boat Crew Training Manual, COMDTINSt M16794.51A, effective January 2007, are to to be used by QEs for the new 3-year Currency maintenance sign-offs. [Posted 02 Jan 07 : Updated 7 Jan 08]

Initial QE Sign-off Letter for Crew/Coxswain/PWC Operators in Adobe .pdf format. To download and save, right click on link then select "Save Target As" to a location on your computer. The QE should send this letter to the DIRAUX office per the revised Boat Crew Training Manual, COMDTINST M16794.51A, 1 January 2007. [Posted 7 Jan 08]

Radio Facility Form for Emergency Response Plan and Crew/Coxswain/PWO and Facility Form for Emergendy Response Plan in Adobe .pdf format. To download and save, right click on link then select "Save Target As" to a location on your computer. These forms are to be downloaded, printed, filled out, and sent by snail mail to the OPR Coordinator via member's FC, DCP, and RCO. They are NOT to be sent up the chain as attachments to email. [Posted 6 Mar 2006]

Vessel Facility Inspection and Offer for Use and District 11s Form 6 , both in Adobe .pdf format. To download and save, right click on link then select "Save Target As" to a location on your computer. These are the forms needed by DIRAUX office beginning 1 Oct 05 for facilities for 2006. [Posted 6 Sep 05]

OPFAC Pre-underway checklist in Adobe .pdf format [Posted 28 Apr 05]

Coastie Sign Up Form in Adobe .pdf format is now located here [Posted 06 Mar 07]

Mishap Reporting guidelines in Adobe .pdf format [Posted 5 Apr 05]

Mishap Report message format in Adobe .pdf format [Posted 5 Apr 05]

Sample Duty assignment log in Adobe .pdf format [Posted 24 Feb 05]

Medical Information Form for crewmembers, in Adobe .pdf format [Posted Jan 05]

Temporary Duty Request form, in Adobe .pdf format [Posted Nov 03]

ID Card Application form, in MS Word format [Posted Mar 03]