Skip to main content
  1. Start
  2. Skjemaoversikt
  3. Sjøfartsdirektoratet
  4. Form for health certificates and declaration of unfitness

Form for health certificates and declaration of unfitness

When should I use this form?

This form is to be sent in with every health examination of a seafarer working on a Norwegian ship (NOR/NIS). 

Who should use this form?

This form is for NMA approved seamen`s doctors.

To have access to the form, you need to have sent NMA your personal information. If you have difficulties logging on or accessing the form, please contact NMA. 

Line Myklebust
E-post: Line.Myklebust@sjofartsdir.no
Tlf.: 52 74 50 00