Get Bomex
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Bomex online
The Bomex form is essential for verifying postgraduate training for licensure applicants with the Arizona Medical Board. This guide will help you navigate the form with ease, ensuring that all necessary information is accurately provided.
Follow the steps to complete the Bomex form correctly
- Press the ‘Get Form’ button to access the Bomex online, allowing you to fill out the document seamlessly.
- Begin by entering your first name and last name in the designated fields at the top of the form.
- Provide your signature and the date in the appropriate sections, confirming your authorization for information release.
- For postgraduate training reporting, detail each postgraduate year (PGY), specifying any years that were incomplete separately from those completed.
- In the 'PG Year' section, indicate the year of your training. Specify the department or specialty and select the type of training: internship, residency, or fellowship.
- For each training period, fill in the 'From' and 'To' dates. If the training year is currently in progress, report the expected completion date.
- Indicate whether each training year was successfully completed by selecting 'Yes,' 'No,' or 'In Progress.'
- Repeat steps 5-7 for any additional postgraduate years, ensuring all sections are accurately filled out.
- Affix the training program seal in the designated space on the form.
- At the end of the form, provide the name and title of the person completing the form, along with their institution's address, phone, and fax number.
- Finally, save your changes, download a copy, print the completed form, or share it as needed.
Complete and submit your documents online today for a streamlined process.
Filing a complaint with the Medical Board of Arizona involves completing a specific form and providing detailed information about your concerns. You can submit your complaint online or by mail, ensuring you include all relevant facts and documentation. Using Bomex aids in formalizing your complaint, making sure all necessary details are captured efficiently. For additional assistance, USLegalForms offers resources to help you construct a clear and effective complaint.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.