Get Certificate Of Conceded Eminence

This guide provides clear instructions for completing the Certificate of Conceded Eminence application online. Follow the steps outlined to ensure a thorough and accurate submission.

Follow the steps to complete the Certificate of Conceded Eminence application.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. Fill in your identification details, including your full name, birth date, and current address. Ensure all information is accurate.
3. Attach a recent passport-type color photograph to the 'Physical Description' section of the form. Black and white photos are not acceptable.
4. Provide a photocopy of your medical school diploma. If the diploma requires translation, ensure it is a certified translation.
5. Include a photocopy of your current, unrestricted medical license from another state or country. This should also be translated if not in English.
6. Complete the Eligibility Verification form with the Dean of your Medical School, including a letter from them and your employment contract.
7. Answer all Additional Information questions. If any question applies to you, provide the required details on a separate sheet.
8. Confirm you have professional liability insurance through your employment and provide three letters of reference from distinguished experts.
9. Review the entire application for accuracy, ensuring all sections are completed. Mark 'N/A' for any non-applicable sections.
10. Submit your application along with the $1,000 fee. Remember that this fee is non-refundable and must accompany your application.
11. Once submitted, you can save changes, download, print, or share the form as needed.

Complete your Certificate of Conceded Eminence application online today!