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Click ‘Get Form’ to open the ecfmg form 182 in the editor.
Begin by entering your current name as it appears in your ECFMG record in the designated fields for First Name(s), Middle Name(s), and Last Name(s).
If you are requesting a name change, check the appropriate box and provide your new name along with the reason for the change. Ensure you attach scanned documentation supporting this request.
For date of birth corrections, enter your current date of birth and check the corresponding box. Provide the correct date along with an explanation for the correction.
Sign and date the form where indicated. This step is crucial as changes will not be processed without your signature.
Once completed, submit your form via email or mail to ECFMG using the provided contact information.
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