Edit, Download, and Sign the FCCPT Foreign Credentialing Commission Attestation Form
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How do I fill this out?
To fill out this form, start by providing your personal information accurately. Ensure all sections are completed as incomplete forms cannot be processed. Double-check your entries before submission to avoid delays in verification.

How to fill out the FCCPT Foreign Credentialing Commission Attestation Form?
1
Provide your full name as it appears on your documents.
2
Enter your date of birth and other personal details accurately.
3
Attach a recent photo and ensure it meets the specified requirements.
4
Read and agree to the terms and conditions outlined in the attestation.
5
Complete the notarization section before submitting the form.
Who needs the FCCPT Foreign Credentialing Commission Attestation Form?
1
International physical therapy graduates need it for New York licensure.
2
Educational institutions require it for credential verification.
3
Employers may request it to verify a candidate's qualifications.
4
Government agencies might need it for immigration or licensing purposes.
5
Professional associations could require it for membership verification.
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What are the instructions for submitting this form?
Submit the completed FCCPT Attestation Form via email to info@fccpt.org, or fax to (123) 456-7890. Alternatively, you can mail the form to FCCPT, 123 Credentialing Blvd, Cityville, NY 12345. Ensure you include all required documents and payment information along with the form for processing.
What are the important dates for this form in 2024 and 2025?
For the 2024 and 2025 application cycles, ensure timely submission of your FCCPT Attestation Form. Check FCCPT's official website for specific deadlines and updates related to the credential verification process. Staying informed about these dates is crucial for a smooth application experience.

What is the purpose of this form?
The FCCPT Attestation Form serves as a critical tool for international physical therapy graduates seeking licensure in New York. This form verifies educational credentials and compliance with state regulations. Additionally, it helps streamline the licensing process by providing necessary information to the New York State Education Department.

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

- 1. Name: Your full name as it appears on your documents.
- 2. Date of Birth: Your date of birth formatted accurately.
- 3. File Number: Specify your application or file number if applicable.
- 4. Signature: Your signature confirming the accuracy of the information.
- 5. Notary Section: A section for notarization confirming the validity of your signature.
What happens if I fail to submit this form?
Failure to submit the FCCPT Attestation Form may delay your credential verification process. It's essential to complete and submit the form accurately to avoid complications.
- License Delay: Delayed processing of your licensure application can occur.
- Document Issues: Incomplete forms may lead to the rejection of submitted documents.
- Legal Consequences: Submitting false information may result in legal action.
How do I know when to use this form?

- 1. Credential Verification: Essential for foreign graduates to verify their education.
- 2. Licensure Application: Required when submitting applications for physical therapy licensure.
- 3. Educational Assessment: Used by institutions to assess the qualifications of applicants.
Frequently Asked Questions
What is the purpose of the FCCPT Attestation Form?
The form is used for verifying credentials in New York State.
Who needs to fill out this form?
International physical therapy graduates and employers may need it for licensing purposes.
How can I edit the PDF?
Use PrintFriendly to upload and edit your PDF with user-friendly editing tools.
What documents do I need to submit with this form?
You'll need to provide supporting educational documents and identification.
Is there a fee associated with the verification service?
Yes, fees apply as specified on the FCCPT website.
How do I submit the completed form?
You can submit the form via email, fax, or physical mail as indicated in the instructions.
What happens if I lie on the form?
Submitting false information may result in denial of verification and potential legal consequences.
How long does the verification process take?
Processing times can vary, so it’s best to check with FCCPT for current timelines.
Can I get a refund if I change my mind?
Fees are non-refundable once paid, except in cases of overpayment.
How can I contact FCCPT for questions?
Contact FCCPT through their website or customer service for assistance.
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