Follow the steps to fill out the form successfully.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. In Section 1, provide your applicant information. Fill in your last name, first name, and middle name. If your name differs from what is on your diploma, include that as well. Fill in the name of your postgraduate training program and your date of birth. Additionally, enter your Social Security number, which will solely be used for identification purposes.
3. In Section 2, the Program Director or designated official must complete the postgraduate training verification. Ensure they provide accurate information regarding their institution and your training completion status. Utilize separate sections for different specialties or subspecialties.
4. For each completed year of training, indicate whether it was successfully completed and note any relevant details or circumstances that may require explanation.
5. After completing all sections, ensure all required signatures are obtained, and check that all information is correctly filled out. If necessary, make copies of the form for multiple training programs.
6. Finally, save your changes, download the completed form, print it if needed, or share it with the relevant parties as directed.

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