verification processing time and decrease duplication of effort. Contact the NSBME if you have any questions or concerns pertaining to the licensure process by calling (775) 688-2559. Tab I: Provide Form G-28, or a letter from a law office if the candidate has an attorney, or a statement that the applicant does not have an attorney. Tab J: Provide copies of all DS 2019 "Certificate of Eligibility for Exchange Visitor (J-1 Physician Visa Waiver) Status" (formerly 1AP-66) forms for the Candidate, form(s) I-94 for the candidate and any family members, and proof of passage of examinations required by . Include transcripts for all 3 sections of United States Medical Licensing Examinations (USMLE) and certification from Educational Commission for Foreign Medical Graduates (ECFMG). Tab K: Provide a copy of the letter from the home government, if applicable, or a statement signed by the candidate that the letter is not necessary because the home government did not provide financial support. This letter is pursuant to Public Law 103-416. The Waiver Review Branch will require this document from DPBH if the candidate received funding from the home country. Tab L: The candidate complete and sign the . The employer shall complete and sign the Tab M: The request contain a copy of the DOS J-1 Physician Visa Waiver Review completed by the candidate. Omission of any component described will result in an incomplete application, a copy of which may be promptly returned to the candidate, requiring a application. The DPBH will “new” retain one copy of the incomplete application until the close of the FFY for which it was submitted. Submit the original waiver request (or a application), when required, with one tabbed “new” original and one copy of the entire application package to: Primary Care Office 4150 Technology Way, Room 200
verification processing time and decrease duplication of effort. Contact the NSBME if you have any questions or concerns pertaining to the licensure process by calling (775) 688-2559. Tab I: Provide Form G-28, or a letter from a law office if the candidate has an attorney, or a statement that the applicant does not have an attorney. Tab J: Provide copies of all DS 2019 "Certificate of Eligibility for Exchange Visitor (J-1 Physician Visa Waiver) Status" (formerly 1AP-66) forms for the Candidate, form(s) I-94 for the candidate and any family members, and proof of passage of examinations required by . Include transcripts for all 3 sections of United States Medical Licensing Examinations (USMLE) and certification from Educational Commission for Foreign Medical Graduates (ECFMG). Tab K: Provide a copy of the letter from the home government, if applicable, or a statement signed by the candidate that the letter is not necessary because the home government did not provide financial support. This letter is pursuant to Public Law 103-416. The Waiver Review Branch will require this document from DPBH if the candidate received funding from the home country. Tab L: The candidate complete and sign the . The employer shall complete and sign the Tab M: The request contain a copy of the DOS J-1 Physician Visa Waiver Review completed by the candidate. Omission of any component described will result in an incomplete application, a copy of which may be promptly returned to the candidate, requiring a “new” application. The DPBH will retain one copy of the incomplete application until the close of the FFY for which it was submitted. Submit the original waiver request (or a “new” application), when required, with one tabbed original and one copy of the entire application package to: Primary Care Office 4150 Technology Way, Room 200