Get Epa Form 5770-9 (pdf)

Filling out the EPA Form 5770-9 (PDF) online is a crucial step for individuals to document the completion of their fellowship studies. This guide will walk you through each section and field of the form to ensure you provide all necessary information accurately.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to access the form and open it in the online editor.
2. Enter your name in the 'Name of Fellow' field. This should be your full legal name as it appears on your official documents.
3. Input your Social Security Number (SSN) in the designated field. Ensure that this information is correct to avoid any processing delays.
4. Fill in the 'Institution' field with the name of the institution where you completed your fellowship. This should match the institution affiliated with your studies.
5. Provide your mailing address after completion of the fellowship. This is important for future correspondence and updates.
6. Indicate the degree sought in the 'Degree Sought' section by selecting from the provided options (e.g., Ph.D., M.S., None).
7. In the 'Date Received or Expected' field, enter the exact date when you received or expect to receive your degree.
8. Use the 'Remarks' section to provide any feedback or constructive criticism about your experience in the fellowship program. Feel free to add additional sheets if needed.
9. In the certification section, record the date you completed your fellowship activities. This date should align with the completion date previously noted.
10. Obtain the signature of your sponsor or an authorized official to certify the information provided. Ensure that their title is also filled in.
11. After completing the form, review all entries carefully for accuracy. Once satisfied, you can save your changes, download, print, or share the completed form as required.

Begin filling out your documents online to ensure a smooth submission process.