RESIDENCY OR FELLOWSHIP TRAINING VERIFICATION REQUEST STEP: Fill out & sign online

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Click ‘Get Form’ to open the Residency or Fellowship Training Verification Request in the editor.
In Step I, enter the requesting organization’s details. Fill in the name, address, phone number, and email of both the organization and the individual making the request.
Proceed to Step II. Here, complete all fields regarding the individual for whom verification is requested. Include their name, residency or fellowship program, and training dates. If multiple programs are involved, list each program along with corresponding dates.
Move to Step III for payment options. Indicate whether you will pay by check or institutional credit card. Ensure you have all necessary information ready for submission.
Lastly, remember to attach any required documents such as Release Authorization and your own Verification Form if needed before finalizing your submission.

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