Get Kmsl Kumc

The Kmsl Kumc form serves as a request for deferment for medical students completing their residency or fellowship. This guide will provide you with clear, step-by-step instructions to help you efficiently fill out the form online.

Follow the steps to complete your Kmsl Kumc form online.

1. Click ‘Get Form’ button to obtain the Kmsl Kumc form and open it for editing.
2. Enter your name, address, city, state, and zip code in the designated fields. Ensure that all information is accurate to facilitate contact.
3. Provide a phone number where you can be reached, as well as your email address for correspondence.
4. Indicate your KUMC-SOM graduation year in the appropriate field.
5. Select the type of deferment you are requesting by checking the corresponding box for 'Internship', 'Fellowship', 'Residency', 'Chief Residency', or 'Other'.
6. Enter the employer or practice name, along with the address, city, state, and zip code. Include your specialty and license or training number.
7. Fill in the date issued for your license or training number.
8. Specify the period of deferment, ensuring it does not exceed 12 months. Indicate the start and end dates of the deferment.
9. Sign and date the form to validate your request.
10. Ensure an authorized official can verify your information by providing their name, title, position, signature, and the date verified.
11. Finally, review all the filled information for accuracy. After making sure everything is correct, you can save the changes, download, print, or share the completed form.

Complete your Kmsl Kumc form online today to ensure timely processing of your deferment request.