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CNMI PUBLIC SCHOOL SYSTEM/ BOARD OF EDUCATION PHYSICIANS MEDICAL EXAMINATION VERIFICATION I have conducted a medical examination upon . Name of Applicant And it is my opinion that (s) he does not.

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How to fill out the FORM - BOE CERTIFICATION APPLICATION FOR PDF.doc online

This guide provides detailed instructions on how to complete the FORM - BOE CERTIFICATION APPLICATION FOR PDF.doc online. Users can follow step-by-step guidance to ensure accurate and efficient form submission.

Follow the steps to complete the form effectively.

  1. Press the ‘Get Form’ button to access the form, ensuring it is open in your preferred online editor.
  2. Enter the name of the applicant in the designated field. Make sure the spelling is correct and matches official documentation.
  3. In the section that assesses the applicant’s physical or mental impairment, select the appropriate box indicating whether the applicant can safely perform job-related functions with reasonable accommodations or poses a risk to health or safety.
  4. Provide any additional comments that may help clarify the applicant's condition or accommodation needs.
  5. Enter the print name of the physician conducting the examination. This ensures that the document is credible and traceable.
  6. Have the physician sign the form to validate the findings of the medical examination.
  7. Fill in the date of the examination to provide a timeline for the medical evaluation.
  8. Complete the city, state, and zip code fields to indicate the location of the examination.
  9. Include the required hospital or clinic seal or stamp in the designated area to authenticate the examination report.
  10. Review all entries for accuracy before saving or finalizing the document as the completed FORM - BOE CERTIFICATION APPLICATION.

Complete your documents online now to ensure timely submission.

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