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VETERANS EMPLOYMENT ACT OF 2013
Defined as verification by the original source of a specific credential to determine the accuracy of a qualification reported by an individual health care practitioner. Verification documents must be sent to the Board directly from the ORIGINAL SOURCE. Verification documents forwarded to the Board from the applicant are not accepted.
>>Apply Online >>Paper Application
RECENT PASSPORT-SIZED PHOTOGRAPH in COLOR Submit via email to: Elizabeth.Kohlhepp@maryland.gov or postal mail. FEES if paying by Check- NONREFUNDABLE Application Fee of $50.00 plus$1050.00 January Licensure (issued January 1 – June 30) or $850.00 July Licensure (issued July 1 – December 31) Check payable to: Board of Podiatric Medical Examiners. PODIATRY COLLEGE TRANSCRIPT - Official Transcripts – Must be sent directly from the college or university to the Board or in a sealed envelope if sent by applicant. APMLE PARTS ONE, TWO, AND THREE. Order Reports at: www.fpmb.org. NOTARIZED RESIDENCY AFFIDAVIT. (waived if attested to 5 years practice on online application) STATE LICENSURE AFFIDAVIT(S) – One for each State an applicant has ever held or currently holds a license including Limited/Temporary licensure. TWO (2) REFERENCE LETTERS from podiatrists addressed to the Board One (1) of which must be from a podiatrist licensed in the state you are currently licensed and practicing. CURRENT CARDIO PULMONARY RESUSCITATION (CPR) CERTIFICATION. Submit via email to: Elizabeth.Kohlhepp@maryland.gov or postal mail. JURISPRUDENCE LECTURE AFFIDAVIT, EXAM AFFIDAVIT and JURISPRUDENCE EXAM.- To be transmitted electronically by the Board after application and payment are received. CHRC - Criminal History Records Check. NATIONAL PRACTITIONER DATA BANK QUERYBoard submitted inquiry.
RECENT PASSPORT-SIZED PHOTOGRAPH in COLOR Submit via email to: Elizabeth.Kohlhepp@maryland.gov or postal mail. FEES if paying by Check- NONREFUNDABLE Application Fee of $100.00. Check payable to: Board of Podiatric Medical Examiners. PODIATRY COLLEGE TRANSCRIPT - Official Transcripts – Must be sent directly from the college or university to the Board or in a sealed envelope if sent by applicant. NATIONAL BOARD SCORES BOTH PARTS. Order Reports at: www.fpmb.org. NOTARIZED RESIDENCY AFFIDAVIT. STATE LICENSURE AFFIDAVIT(S) – One for each State an applicant has ever held or currently holds a license including Limited/Temporary licensure. COPY OF YOUR LETTER OF APPOINTMENT. Submit via email to: Elizabeth.Kohlhepp@maryland.gov or postal mail. COPY OF THE AFFILIATION AGREEMENT. (For Rotations Only) Submit via email to: Elizabeth.Kohlhepp@maryland.gov or postal mail. JURISPRUDENCE LECTURE AFFIDAVIT, EXAM AFFIDAVIT and JURISPRUDENCE EXAM.- To be transmitted electronically by the Board after application and payment are received.