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Get Ecfmg Form 182 2023-2025
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How to fill out the ECFMG Form 182 online
The ECFMG Form 182 is essential for individuals seeking to change their name or date of birth in their ECFMG records. This guide provides clear and detailed steps to help you complete the form effectively online.
Follow the steps to successfully complete and submit your ECFMG Form 182 online.
- Press the ‘Get Form’ button to obtain the form and access it in your browser.
- Begin by entering your USMLE/ECFMG identification number in the designated field at the top of the form.
- Input your current name as it appears in your ECFMG record in the respective fields for first name, middle name, and last name.
- If you are requesting a name change, check the appropriate box and fill out the new name information, including any generational suffix. Provide a reason for the name change in the space provided.
- Enter your date of birth as it currently appears in your ECFMG record in the specified format.
- If you are correcting your date of birth, check the relevant box and provide the correct date of birth information along with a reason for the correction.
- Sign the form in the designated space, ensuring your signature is in the Latin alphabet.
- Include the date you are signing the form and make sure to review all entered information for accuracy.
- Finally, save your changes, and then you can download, print, or share the completed form as per your needs.
Complete your ECFMG Form 182 online now for a smoother application process.
How to fill out the ECFMG Form 182 Applicant Biographic Change Request? Read the ECFMG Policies on Name Changes and Date of Birth Corrections. Complete Form 182 with accurate information. Attach the required documentation as specified. Sign the form where indicated. Submit the completed form to ECFMG via email or mail.
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