International diploma verification form pdf 2026

1. Click ‘Get Form’ to open the international diploma verification form in the editor.
2. Begin by entering your Last Name, First Name, and Middle Name in the designated fields. Ensure that all names are spelled correctly for accurate processing.
3. Input your PT License Number, Date of Birth, and Social Security Number in the respective fields. Remember that providing your Social Security Number is mandatory for processing.
4. Fill in your Address, City, State, and Zip Code accurately to ensure correspondence reaches you without delay.
5. Provide both Business and Home telephone numbers. This information is crucial for any follow-up regarding your application.
6. Indicate if there has been a Name Change or Address Change by checking 'Yes' or 'No'. If applicable, attach documentary evidence for name changes.
7. Complete either Section A or B based on the status of your license (Damaged, Lost, Stolen). Provide details about the circumstances surrounding any loss or theft.
8. Read the certification statement carefully before signing. Your signature confirms that all information provided is true and correct.

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