Get Mblex Result Transfer Form - Fsmtb - Fsmtb

The MBLEx Result Transfer Form is essential for transferring your Massage & Bodywork Licensing Examination results to desired licensing boards or other recipients. This guide provides clear, step-by-step instructions to help you successfully complete and submit the form online.

Follow the steps to complete the MBLEx Result Transfer Form accurately.

1. Use the 'Get Form' button to access the MBLEx Result Transfer Form and open it in your online editor.
2. Begin by filling out the MBLEx Candidate Information section. Provide your first name, middle initial, last name, and name at the time of testing if it differs. Also, include your date of birth (MM/DD/YYYY) and Social Security number.
3. Next, complete your official mailing address, including number and street, apartment number (if applicable), city, state, and ZIP code. Ensure you also enter your email address and daytime phone number, which will be used for correspondence.
4. In the 'Send MBLEx Result To' section, specify the state licensing boards or agencies receiving your results. List up to three states here. If you need to add more, attach a separate sheet.
5. Should you wish to send your results to an individual or business, fill out the 'Other (Duplicate Report)' section with the name of the person, name of the business, their address, city, state, and ZIP code.
6. Next, indicate your payment information. Remember that the fee is $20 per report. Clearly note the total payment due and ensure you select your preferred payment method, confirming that standard personal checks are not acceptable.
7. Read the Statement of Acknowledgement thoroughly. By signing and dating the form, you authorize the FSMTB to release your MBLEx results as specified.
8. Finally, review your completed form for accuracy. Save your changes, download, print, or share the form as needed and submit it to FSMTB at the provided addresses.

Complete the MBLEx Result Transfer Form online to ensure your results are sent where needed.