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Legal Department

Herman H. Tietjen, DSO-LP

E-Mail: htietjen@frontiernet.net
Telephone: (845) 876-7066

Return to Legal Main


Making a Medical Claim

No one desires to be involved in an accident which may cause personal injury. In the event that such an unfortunate event should occur, it is important to know where to look for guidance. The primary source is the Auxiliary Manual COMDTINST M16790.1F (AuxMan1F). Another source is the Coast Guard Claims and Litigation Manual COMDTINST M5890.9 (series). The Auxiliary Manual provides a well written chapter on how and where to file a claim for medical reimbursement.

If you should be injured in an accident while assigned to duty as an Auxiliarist, it is important that you promptly report the accident to: (i) your insurance carrier, (ii) the Coast Guard or Auxiliary order issuing authority (iii) the Director's office and then begin the process of making a claim. When the opportunity arises you should carefully read Chapter 5, Section K of AuxMan 1F, which is reproduced below and diligently follow the steps needed to perfect your claim.

THE INITIATIVE MUST BE YOURS. IF YOU ARE NOT ABLE TO FILL IN THE FORMS YOU SHOULD REQUEST ASSISTANCE FROM SOMEONE WHO IS ABLE TO UNDERSTAND THE FORMS AND HELP YOU TO COMPLETE THEM.

The Director's office can only process your claim with the Department of Labor (DOL) if you provide the needed materials and supporting documents.

The text of AUXMAN Chapter 5, Section K requires the use of one or more of the following forms which are provided and can be reproduced by you. These forms are taken from the DOL and Coast Guard websites and represent the latest version as published by the Coast Guard and DOL.

Department of Labor Forms

Coast Guard Forms

Aux Manual Chapter 5 Section K

The person in the Director's Office who handles injury claims is Karen Wagner, Administrative Assistant.
Phone: 212-668-7990

Post Office Address
Commander, (OAX-SR)
First Coast Guard District
Battery Park Bldg. 2nd Fl. Rm 207
1 South Street
New York, NY 10004
Attn: Karen Wagner


Mod XIV
2/12/2010