Get State Education Department-affidavit Of Non-compensation - Mcms

Filling out the State Education Department Affidavit of Non-Compensation online is a straightforward process. This guide provides clear and comprehensive instructions to help users navigate each section of the form effectively.

Follow the steps to complete your affidavit online.

1. Press the ‘Get Form’ button to obtain the affidavit and open it in your editing tool.
2. In the first section, enter your full name. This includes your last name, first name, and middle name as applicable.
3. Provide your complete address details, including apartment or building number, street name, city, state, or if applicable, province or country, and zip code.
4. Input your physician license number in the designated field to identify your registration.
5. Indicate the registration period for which you are applying for the fee waiver by filling in the month and year.
6. Read and understand the waiver requirements. Then confirm your understanding by agreeing to practice medicine in New York without any compensation or expectation of compensation.
7. If you are a shareholder or involved in any professional business entity, provide any necessary documentation that verifies you are not receiving compensation.
8. Acknowledge that the fee waiver is valid only for the indicated registration period and that you must reapply for future waivers.
9. Commit to notifying the New York State Education Department regarding any changes in your compensation status that could impact your waiver eligibility.
10. Sign and date the affidavit, ensuring your signature is provided in the designated section.
11. Complete the section for the notary public, including their signature, notary ID number, and expiration date.
12. Return the completed Affidavit with your registration application form to the specified address.

Take the next step in your career by completing your affidavit online today.