Fccpt re form 2025

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To change your name this form must be accompanied by legal documentation. Acceptable forms of documentation include a copy of marriage certificate, divorce decree, legal name change document, copy of SSN card or drivers license. Please see restrictions/requirements for your state below.
Type 1 for Licensure Requirements Must have a Bachelors degree or higher in physical therapy. Must be eligible to practice physical therapy in the country of education where the first professional degree was obtained. Must pass the TOEFL or qualify for the TOEFL exemption.
A: Name change requests must include a completed Name Change Request Form and legal documentation verifying the change of name. The completed Name Change Request Form and legal documentation may be scanned and emailed to NameChanges@inteleos.org.
To change your name on any official certificate in India, first, obtain a notarized affidavit stating the name change. Then, publish the change in at least two newspapers (one local and one national). Finally, submit these documents, along with the original certificate, to the issuing authority for amendment.
To submit a name change request online, go to .ascp.org/bocfeedback, select the topic Change Name/Contact Information and the subject Name Change.
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Application Fee Schedule DescriptionFees (USD) effective 01/01/20 Comprehensive Credentials Review (Type 1 Review)01 $1,340 Comprehensive Credentials Review (Type 1 Review) Reactivation05 $1,000 Comprehensive Credentials Review (Type 1 Review) Re-evaluation06 $870 Type 1 Certificate Renewal $51520 more rows
To have your name changed on your FCCPT file, you must mail a notarized copy of a legal document showing the name change, along with a letter requesting the change. Please include your full name, file number, and signature with your request letter.

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