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Get Certified Identity Confirmation Form
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How to fill out the Certified Identity Confirmation Form online
Filling out the Certified Identity Confirmation Form online can be a straightforward process when you understand each section. This guide will walk you through the steps needed to accurately complete the form and ensure your identity is properly confirmed.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the candidate's current legal name in the designated space, ensuring you include both given name(s) and surname.
- Fill in the date of birth using the specified format: year, month, and day. Make sure the numbers are clear and correctly entered.
- Affix a recent photograph of the candidate in the space provided. Ensure this photo meets the required specifications, with a color image and a contrasting background.
- In the certification section, the certifier must verify their identity confirmation by comparing physical appearance and signatures. This needs to be filled out with the relevant information by the individual confirming the identity.
- The subsequent fields require the certifier to provide their name, signature, telephone number, and email address for contact purposes.
- Remember to include a second identical photograph, ensuring it is attached correctly without covering the face. Use tape along the top edge only.
- Once all sections are filled out correctly, save the changes. You can download, print, or share the completed form as needed.
Begin completing your Certified Identity Confirmation Form online today to ensure a smooth submission process.
Related links form
The Physician Credentials Registry of Canada (PCRC) is a division of the Medical Council of Canada (MCC). PCRC performs two vital licensing functions: it source verifies physician credentials and it serves as a centralized electronic repository of a physician's source-verified core medical credentials.
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