Get Request For Duplicate Permanent Validation Sticker Form ... - Ecfmg - Ecfmg

This guide provides a clear and user-friendly approach for filling out the Request For Duplicate Permanent Validation Sticker Form for ECFMG-certified physicians. Follow the steps below to ensure your form is completed accurately and submitted properly.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the document and open it in the editor.
2. Enter your USMLE/ECFMG identification number in the designated field.
3. Provide your name by filling in the first name, middle initial, and last name fields accurately.
4. Fill out your mailing address where the duplicate sticker should be sent. Include the city, state, zip or postal code, and country.
5. Input your phone number and email address in the provided fields, ensuring they are correct for any follow-up communication.
6. Indicate if there is a change in your address for ECFMG records by selecting 'Yes' or 'No.'
7. Select the reason for requesting a duplicate permanent validation sticker by checking the appropriate box. The options include 'Sticker Never Received or Lost,' 'Sticker Destroyed or Unusable,' or 'Other.' If you choose 'Other,' be sure to specify your reason.
8. Sign and date the form in the respective fields to confirm your request for the duplicate sticker.
9. Once all fields are completed, review the document for accuracy. You may then save your changes, download, print, or share the completed form, as necessary.

Complete your Request For Duplicate Permanent Validation Sticker Form online today to ensure your prompt response.