Edit, Download, and Sign the ECFMG Form 182 Applicant Biographic Change Request

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How do I fill this out?

To fill out Form 182, start by reading the instructions provided. Make sure to complete all required fields accurately. Gather and attach the necessary documentation to support your requests.

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How to fill out the ECFMG Form 182 Applicant Biographic Change Request?

  1. 1

    Read the ECFMG Policies on Name Changes and Date of Birth Corrections.

  2. 2

    Complete Form 182 with accurate information.

  3. 3

    Attach the required documentation as specified.

  4. 4

    Sign the form where indicated.

  5. 5

    Submit the completed form to ECFMG via email or mail.

Who needs the ECFMG Form 182 Applicant Biographic Change Request?

  1. 1

    Medical students who need to change their name on official records.

  2. 2

    Graduates wishing to correct their date of birth in the ECFMG database.

  3. 3

    Applicants applying for ECFMG certification who need to update their personal information.

  4. 4

    Individuals who recently married and need to update their surname.

  5. 5

    Anyone with discrepancies in their personal details due to administrative errors.

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  1. 1

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What are the instructions for submitting this form?

To submit Form 182, you can either email it to biographicchange@ecfmg.org or send it via mail to ECFMG Certification Program, 3624 Market Street, 1st Floor, Philadelphia, PA 19104, USA. Ensure you include all required documentation with your submission. It's essential to follow up if you do not receive confirmation within a reasonable time.

What are the important dates for this form in 2024 and 2025?

Key dates for submitting Form 182 include deadlines for ECFMG certification applications and exam registrations. Ensure you submit your changes ahead of these deadlines to avoid disruptions in your certification process. Keep an eye on updates from ECFMG for any changes in timelines.

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What is the purpose of this form?

The purpose of Form 182 is to facilitate the correction of biographic information in the ECFMG records. It allows applicants to ensure their records align with official documents. Accurate biographic details are essential for seamless processing of certification and examination applications.

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Tell me about this form and its components and fields line-by-line.

Form 182 consists of multiple fields for personal information and documentation requirements.
fields
  • 1. USMLE/ECFMG Identification Number: A unique identification number assigned to each applicant.
  • 2. Current Name: The name as it currently appears in the ECFMG record.
  • 3. Name Change Request: Details to be filled if a change of name is requested.
  • 4. Date of Birth: The date of birth as recorded in the ECFMG system.
  • 5. Date of Birth Correction Request: Details to be filled if a date of birth correction is required.

What happens if I fail to submit this form?

Failing to submit Form 182 can result in inaccuracies in your ECFMG record, which may affect your certification process. Additionally, it could delay your application for exams and certifications.

  • Delayed Processing: Concerns about the timely processing of certification applications.
  • Inaccurate Information: Inaccurate records may lead to complications during examinations.
  • Renewal Issues: Issues with renewal of certification if biographic details are incorrect.

How do I know when to use this form?

Use Form 182 when you need to update your personal information that does not match your official identification. This could include changes after marriage, corrections of errors, or updates required for the ECFMG certification process.
fields
  • 1. Name Change: To formally request a change in your name.
  • 2. Date of Birth Correction: To correct any inaccuracies related to your date of birth.
  • 3. Contact Information Update: To ensure your contact information is current for ECFMG communications.

Frequently Asked Questions

How do I fill out Form 182?

Begin by reading the provided instructions and completing all required sections.

What documents do I need to submit with Form 182?

You will need to attach scanned copies of required documentation verifying your name change or date of birth correction.

How long will it take to process my request?

You can expect to receive a notification regarding your request within approximately 10 business days.

Can I edit the PDF version of Form 182?

Yes, PrintFriendly allows you to edit the PDF using our online editing tools.

Is it necessary to sign Form 182?

Yes, you must sign the form in the designated area to validate your request.

Where do I submit Form 182?

You can submit the completed form via email or mail to the addresses listed on the form.

What if I do not submit the required documentation?

Your request may be delayed or denied if the documentation is incomplete.

How can I share my completed Form 182?

Once completed, you can share your Form 182 using the sharing options available on PrintFriendly.

Can I save my changes on PrintFriendly?

After editing, you can download the PDF with your changes.

What if I need to correct details after submission?

You must resubmit a new Form 182 to make any additional corrections.

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