Other forms

VisaScreen® Expedited Review Service form

Completed by applicant.

This form is for applicants who have a Request for Evidence offer for employment, a pending expireation of a visa or licensing application, or deportation deadline for their visa application with the U.S. Citizenship and Immigration Services (USCIS).

Interested applicants need to call the CGFNS Customer Care Center at +1 (215) 222 8454 for instructions.

Download the VisaScreen® Expedited Review Service form (07/17/09)

Online Multiple Report System (OMRS) Enrollment form

Completed by authorized agent.

The OMRS authorizes a third party to receive an individual recipient’s status information and is a complementary service designated for recruiters, employers and immigration attorneys who are managing multiple clients. The report provides information on all programs for each applicant until 30 days after the completion of the service.

Each OMRS third-party agent must complete an enrollment form and receive their own username and password. Those with the designated username and password can only view their specific applicants’ information.

The Authorization to Release Information form must also be completed to be enrolled in the OMRS.

Download the Online Multiple Report System Enrollment form (01/24/05)

Request for Academic Records / Transcripts form

For nurses applying for the Credentials Evaluation Service, the Certification Program or VisaScreen® or for the following other occupations applying for VisaScreen® physical therapists, occupational therapists, clinical laboratory scientists and technicians, speech language pathologists and audiologists.

Top part of form completed by applicant, bottom part of form and second page completed by school.

Complete the information in the applicant’s section and then send one copy of the form to each post-secondary (tertiary) school that you attended outside the United States, requesting that they send us your academic records/transcripts.

Please note: If your school requires payment for the service or for translations, please enclose with the form.

IMPORTANT: We cannot accept records supplied by you or anyone else other than the school, even if they were sent to you by the school and forwarded to us sealed. If we receive documents that are not in English without an English translation attached, we can have them translated for the fee listed on the fees page at www.cgfns.org/sections/apply/fees.shtml, at your request.

NURSE Request for Academic Records / Transcripts form (May 2011)

PHYSICAL THERAPIST Request for Academic Records / Transcripts form (May 2011)

OCCUPATIONAL THERAPIST Request for Academic Records / Transcripts form (May 2011)

CLINICAL LABORATORY SCIENTIST AND TECHNICIAN Request for Academic Records / Transcripts form (May 2011)

SPEECH LANGUAGE PATHOLOGIST AND AUDIOLOGIST Request for Academic Records / Transcripts form (May 2011)

Request for Validation of License/Registration/Diploma form

For the Credentials Evaluation Service, the Certification Program or VisaScreen®.

Top part of form completed by applicant, bottom part of form completed by licensing authority.

You must request validation for all of your current and initial license/registration/diploma using this form. Complete the requested information in the applicant’s section at the top of the form before sending one to each licensing authority that issued your license/registration/diploma. The section at the bottom titled “FOR LICENSING AUTHORITY TO COMPLETE” is to be completed by them.

If you have a diploma that authorized you to practice in your country, send this form to the institution that issued your diploma (for example, your school or the Ministry of Health) and request that an official copy of your diploma in its original language be sent to CGFNS. If we receive documents that are not in English without an English translation attached, we can have them translated for the fee listed on the fees page at www.cgfns.org/sections/apply/fees.shtml, at your request.

Request for Validation of License/Registration/Diploma form (April 2011)

Authorization to Release Information form

Completed by applicant.

Applicants may authorize a third party to receive status information and all communications from CGFNS International, including certificates and final reports.

Third-party authorization as a recipient of status information does not prevent the applicant from maintaining their own username and password or from checking their own status.

The applicant can revoke third-party authorization with a mailed or written request to CGFNS International.

Authorization to Release Information form (April 2011)

Photo Identification Form

Completed by applicant.

CGFNS Photo Identification form (April 2011)

Credit Card Payment Form

Credit Card Payment form (April 2011)

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