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Please enter any comments or questions you may have. Note: Information entered below is transmitted via email, do not include sensitive information (e. g. Account numbers, your SSN or home address).
This collection of information (COI) is targeted only to USCG personnel, retired USCG members, and dependents. If you are not a member of one of the targeted groups, please do not submit information to the Coast Guard through this form. The Coast Guard will immediately delete any submissions that it receives from persons who do not fit into one of these categories.
Note: . Occasionally, perhaps due to unusually heavy traffic on the Coast Guard's web servers during certain times of the day, the script used to transfer the trouble-ticket form to our customer service system fails. We are working with the Operations Service Center to resolve the problem.
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