P1D - Application for a Certificate to Practice Podiatric - Board of 2025

1. Click ‘Get Form’ to open the P1D application in the editor.
2. Begin by attaching a recent 3” x 5” photo of yourself in the designated area. Ensure that the photo is clear and meets any specified requirements.
3. Fill in your age at the time the photo was taken, along with your hair color, eye color, height, weight, and any identifying marks. All fields are mandatory; ensure accuracy to avoid application rejection.
4. In the Applicant Declaration section, print your full name clearly. This certifies that you understand all requirements and that your statements are true under penalty of perjury.
5. Sign and date the application in the provided spaces. Make sure not to use initials; your full signature is required.
6. Review all entered information for completeness and accuracy before submitting your application through our platform.

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