The Washington medical license application (MD) is the Uniform Application for Physician State Licensure (UA), the form every allopathic medical school graduate must complete and submit to the Washington Medical Commission to earn the legal right to practice medicine in Washington State. You file it online through the Federation of State Medical Boards, pay a non-refundable $511 fee, and back it up with paper addenda mailed to the Department of Health. Get it right and you join a licensed workforce where nearly 1 in 4 U.S. physicians is an international medical graduate, according to the American Medical Association as cited in the WES physician licensing guide.
Here is the catch that trips up smart, busy doctors. The Commission warns you to allow a minimum of sixteen to twenty weeks to process the application, and an application that sits pending for one year becomes invalid along with your fee, as stated in the official UA instructions last revised October 2022. One blank field or one missing certified court record can stall you for months while a hospital start date slips away. This guide walks you through the form line by line so that does not happen to you.
- 🩺 How to complete every page of the online UA and each paper addendum the right way
- 📋 The exact documents and ID numbers to gather before you open the application
- ⚠️ The high-risk fields (work-history gaps, “yes” personal-data answers, name mismatches) that delay the most applicants
- 💵 The current fees, filing channels, and the 16–20 week timeline you must plan around
- ✅ Three full walkthroughs for a new residency grad, an out-of-state IMG, and a Washington trainee moving to a full license
What the Form Is and Who Must File It
The Washington MD application is the Uniform Application for Physician State Licensure (UA) paired with a Washington-specific Addendum packet. The UA is a single web-based core application built by the FSMB that captures your identity, medical education, postgraduate training, licensure history, work chronology, and malpractice history, then can be re-sent to other states without re-entering data, as the FSMB explains. Washington layers its own addenda and affidavits on top to keep the Commission’s legal authority intact.
You must file this form if you graduated from an allopathic (MD) medical school and want to practice medicine in Washington. Osteopathic (DO) physicians do not use this form; they apply to the Washington Board of Osteopathic Medicine and Surgery instead, as the UA instructions state plainly. Both U.S. medical graduates and international medical graduates (IMGs) use the same UA, though IMGs add an ECFMG certification step.
The agency that receives and decides your application is the Washington Medical Commission, working through the Washington State Department of Health. The Commission draws its authority from Chapter 18.71 RCW, the statute governing physicians, with detailed rules in WAC Title 246-919. Under RCW 18.71.050, a U.S. or Canadian graduate who finished medical school after July 28, 1985 must complete two years of accredited postgraduate training, and anyone who graduated after October 11, 1993 must pass all steps of the USMLE.
Two consequences flow from this structure. First, practicing medicine in Washington without an issued license is unlicensed practice, which the Commission can prosecute under the Uniform Disciplinary Act, RCW 18.130. Second, the application is a sworn legal document; you sign it under penalty of perjury, so an untruthful answer is far worse than a “yes” answer you explain honestly.
Before You Start: Documents and Information You Need
The UA asks you to account for all time since medical school graduation, so gather your records before you open the form. The single biggest cause of delay is starting the application without the dates, numbers, and certified documents in hand. Pull everything together first, then fill the form in one or two focused sittings.
Here is your pre-filing checklist, with why each item matters.
- Social Security number. Federal and state law require it for child-support enforcement under RCW 26.23.150; without it you must file Addendum 5, and an ITIN or Canadian SIN cannot substitute.
- Your full legal name and any prior names. The name must match your birth certificate, marriage certificate, or court order, because a mismatch can get your application denied outright.
- Medical school name, graduation date, and diploma. The Commission verifies your degree at the source, so a wrong date stalls verification.
- Postgraduate training program names and exact dates. You need at least two years post-1985, and gaps must be explained.
- USMLE or LMCC exam history. Required for anyone who graduated after October 11, 1993, and missing scores halt review.
- Complete work and activity chronology. Every job, military assignment, locum stint, and gap of 30 days or more must be listed, or the Commission returns the form.
- Malpractice claim records. You must attach the final disposition of every claim, including dismissals, or the file is incomplete.
- Certified court records for any criminal history. If you answer “yes” to the criminal question, certified copies must arrive with the application or it will not be considered.
- A notarized 2×2 passport photo (under 6 months old). It attaches to the UA Affidavit; digital or proof photos are rejected.
- Your FCVS Profile number, if you use FCVS. It links your verified credentials to the Washington file.
If any of these is missing when you submit, the Commission notifies you of the gap, but the clock keeps running toward the one-year invalidation deadline noted in the UA instructions. Gathering documents first is the cheapest insurance you can buy.
Where to Get the Form and How to Access It
You access the Washington MD application in two linked places. The online core lives on the FSMB platform; you start it at the Uniform Application portal by signing in and selecting the Washington Medical Commission as your destination board. The paper addenda, affidavit, and fee form come from the Commission’s licensing page and from the official Washington UA instructions PDF, which is last revised October 2022. Confirm that revision date so you know you have the current packet.
Many physicians also use the optional Federation Credentials Verification Service (FCVS), which the Commission “highly recommends but does not require.” FCVS verifies your identity, education, training, and exams once, then stores a reusable profile. Even if you use FCVS, you still must complete the online UA itself; FCVS only replaces the separate verification forms.
A third route exists for some physicians: the Interstate Medical Licensure Compact, an expedited pathway for doctors who designate a state of principal license and meet eligibility rules. The Compact is a faster on-ramp for qualifying applicants, but it runs through its own portal rather than the standard UA. This guide focuses on the standard UA path that all MD applicants can use.
Print the right pages of the packet. The UA instructions tell MD applicants to print pages 1–18 (pages 19–29 are for physician assistants). Printing the wrong section and mailing PA forms is a common, avoidable error.
Step-by-Step: How to Fill Out the Washington UA Line by Line
This is the heart of the application. Complete each section in the order below, using the exact field names printed on the online UA and the paper addenda.
Legal Name Field
This field asks for your full legal name. Plain and simple, it wants the name that appears on your official certificate of birth, or on a marriage certificate or court order if your name has changed.
Enter it exactly as it appears on that legal document, with correct spelling and no nicknames. Dr. Anjali R. Mehta enters Mehta, Anjali, Rao if that is the order on her birth or marriage certificate.
A common nuance is the maiden-versus-married name question. If you changed your name, you list the legal current name here and disclose the former name in the Alternate Name section, and you must notify the Department of Health in writing with proof of the change under WAC 246-12-300.
The most common mistake here is using a name that does not match your supporting documents. The direct consequence is severe: the UA instructions warn that if you use any name other than your legal name your application may be denied.
A frequent misconception is that the name on your medical diploma controls. It does not; the controlling name is your current legal name, and any earlier name simply goes in the Alternate Name field.
Alternate Name (Other Names Known By) Field
This field asks whether you have ever been known by any other name. It is looking for maiden names, prior married names, anglicized names, or any spelling you have used professionally.
List every other name you have used, even ones you think are minor. Anjali Mehta, who practiced for three years as Anjali Rao before marriage, lists Rao, Anjali here.
The nuance applies to IMGs whose names were transliterated differently on different documents. List each spelling variant, because verification documents may arrive under the old spelling.
The common mistake is leaving this blank to “keep things simple.” The consequence is that when a transcript or hospital record arrives under your former name, the Commission cannot match it to your file, and processing stops.
People wrongly believe alternate names look suspicious. They do not; omitting a name you have actually used is what raises questions, not disclosing one.
Social Security Number Field
This field asks for your Social Security number. State and federal law require it on the application for child-support enforcement purposes under RCW 26.23.150.
Enter your nine-digit SSN in the format the portal requests, with no transposed digits. James O’Brien enters his number digit-for-digit and double-checks it against his card.
The edge case is having no SSN. You can still be licensed, but you must complete and return Addendum 5 – Declaration of No Social Security Number, and you cannot substitute an ITIN or a Canadian SIN.
The common mistake is a typo in the number. The consequence is a failed cross-check against federal databases, which holds your file until you correct it.
A misconception is that you must obtain an SSN before applying. You do not; the UA instructions confirm you remain eligible without one as long as you file Addendum 5.
Home and Business Address Fields
These fields ask for your current home address and your current business practice or training address. The form needs both, separately.
Enter a full street address for each, including city, state, ZIP, and country. James O’Brien enters his Spokane apartment as his home address and his Sacred Heart residency site as his business address.
A key nuance: you cannot enter the same address for both. The UA instructions state that using the same address for home and work triggers an error and blocks submission.
The common mistake is leaving the business address blank when between jobs. The consequence is the error message and a stalled application. Enter your most recent or upcoming practice address instead.
Many applicants believe their address becomes public. For health care providers under RCW 18.130, the current address and phone number are not public information, so you can list your real address safely.
Board Mailing Address Selection
This field asks which address the Commission should use for all official mail about your license. It is your address of record.
Select the home or business address where you reliably receive mail, and include city, state, ZIP, and country. Anjali Mehta selects her home address because she changes job sites often.
The nuance is that you must keep this address current with the Department of Health under WAC 246-12-310. If you move, you must update it by phone or in writing.
The common mistake is choosing an address you are about to leave. The consequence is that your license document and any deficiency notice go to the wrong place, costing you weeks.
A misconception is that email replaces this. Both your mailing and email addresses become addresses of record, and the Commission may use either.
Chronology of Activities Page
This page asks you to list all activities since medical school graduation, in chronological order, to the present date. It covers medical and non-medical time alike.
List every hospital, teaching post, HMO, private practice, military assignment, government role, and locum tenens job, each location separately, plus every period of unemployment. James O’Brien lists his three residency years, a two-month gap while relocating, and his current attending role, marking each break of 30 days or more.
The nuance is the “Staff Privileges” box and the clinical-versus-administrative split: check Staff Privileges for any site where you had admitting privileges, and label patient time as clinical and paperwork or research time as administrative, as the UA instructions direct.
The most common mistake on the whole application is failing to explain a gap of 30 days or more. The consequence is a returned application and a direct request for explanation, adding weeks.
Applicants wrongly think only medical jobs count. The form demands a complete timeline, so a year spent caregiving or traveling must appear, accounted for honestly.
Malpractice / Professional Liability Page
This page asks you to report all past and current professional liability claims or lawsuits filed against you. It applies whether or not the claim had merit.
Report each claim and attach a copy of the final disposition of every case, including dismissals. Dr. Marcus Lin lists a 2019 claim that was dismissed and attaches the court order showing dismissal. You may leave the page blank only if you have truly had no claims.
The nuance is dismissed or settled claims; many physicians assume those need not be reported, but they do, with disposition documents.
The common mistake is reporting the claim but omitting the disposition paperwork. The consequence is an incomplete application that the Commission will not review until the documents arrive.
A misconception is that disclosing a claim hurts your chances. An honest, documented disclosure is routine; an undisclosed claim discovered later is what becomes a fitness-to-practice issue.
Addendum 2 – Personal Data Questions (Questions 1–9)
This section asks nine sworn questions about your fitness to practice, covering substance use, arrests and convictions, prior discipline, license actions, malpractice, hospital-privilege loss, and pending investigations. Every applicant answers the same questions.
Answer each “yes” or “no” honestly. If you answer “yes” to any, you must attach an explanation plus certified copies of all judgments, decisions, orders, agreements, and surrenders. Dr. Marcus Lin, who had a misdemeanor at age 20, answers “yes” to Question 2 and attaches certified court records from the county courthouse.
The nuance lives in Question 2: it covers misdemeanors, gross misdemeanors, and felonies, but you do not report ordinary traffic infractions, and “another jurisdiction” means any country, state, federal territory, or military authority.
The common mistake is answering “yes” but not sending the certified documents with the application. The consequence is explicit in Addendum 2: the application is incomplete and will not be considered.
A widespread misconception is that a criminal record automatically bars licensure. It does not; the Commission states criminal history may not automatically bar you, but failing to report it can delay or deny your application and add cost.
Addendum 1 – Licensure Application Fee Payment Form
This form asks for your identifying details and the fee you are paying. It tells the Commission to match your payment to your file.
Complete your name, FCVS profile number if any, email, phone, and mailing address, then mark the payment type and amount. Anjali Mehta writes a check to the Washington Department of Health for $511.00 and notes the check number on the form.
The nuance is the FCVS field: include your FCVS number so the payment and your verified profile connect cleanly.
The common mistake is submitting the online UA but forgetting to mail this form and the fee. The consequence is blunt: the Commission will not process the application until the fee arrives.
A misconception is that the fee is refundable if you withdraw. It is not; under WAC 246-12-340 all application fees are non-refundable.
Addendum 3 – 90-Day Temporary Permit Request (Optional)
This optional form requests a one-time 90-day temporary permit so you can begin practicing while full review finishes. It is available only to applicants previously licensed in a recognized jurisdiction.
Sign and date the request, print your name, date of birth, and mailing address. Dr. Marcus Lin, already licensed in Oregon, signs Addendum 3 to start work sooner. The permit expires on full-license issuance, on the start of any investigation, or after 90 days, whichever comes first.
The nuance is the recognized-jurisdiction list printed on page 2 of the addendum; your other-state license must appear there for the permit to issue, along with a clear FSMB data bank report and a clear AMA profile.
The common mistake is requesting the permit despite a “yes” on any personal-data question. The consequence is that the Commission’s designee must review it first, which removes the speed benefit.
Applicants wrongly think the temporary permit is the license. It is a short bridge only; it vanishes the moment your full license issues or 90 days pass.
Addendum 4 – Applicant’s Attestation
This form asks you to attest, under penalty of perjury, that you are the person in the application, that you have read RCW 18.130.170 and RCW 18.130.180, and that every answer is true and complete.
Print your name, fill in your medical specialty, date it, and sign. James O’Brien prints his name, writes Internal Medicine, dates it 07/15/2026, and signs.
The nuance is the broad release you grant: you authorize hospitals, schools, references, employers, and government agencies to release records the department needs.
The common mistake is leaving the form unsigned or undated. The consequence is that the Commission cannot process the application at all without your signature here.
A misconception is that this attestation is a formality. It is a sworn legal statement, and a false answer here is grounds for denial or later discipline under the Uniform Disciplinary Act.
UA Affidavit and Authorization for Release of Information
This form is a notarized oath that you are the person named and that your statements are true. It is separate from the FCVS affidavit and goes directly to the Commission.
Sign it in front of a notary, attach your signed 2×2 passport photo, and mail it to the Washington Medical Commission MD Credentialing Unit. Anjali Mehta signs across the front of her photo in ink, has the affidavit notarized, and mails it to the Olympia address.
The nuance is the photo standard: it must be color, head-and-shoulders, under six months old, and signed in ink; proofs, negatives, and digital photos are rejected per the UA instructions.
The common mistake is sending this affidavit to FCVS by accident. The consequence is a direct delay, because the Washington affidavit must go to the Board, not to FCVS.
A misconception is that the FCVS affidavit covers this. The two are separate documents, and you must submit each to its correct destination.
Credentials Verification: FCVS Path vs. Direct Path
This step asks how your education, training, and exams will be verified at the source. You choose either FCVS or direct verification.
If you use FCVS, you do not complete the Medical Education, Postgraduate Training, or Fifth Pathway verification forms, and you send no transcripts or certificates yourself; FCVS handles it. If you do not use FCVS, you complete those forms and arrange for your school, programs, and exam bodies to send documents directly to the Board. Dr. Marcus Lin, who plans to license in three states, chooses FCVS to reuse the profile.
The nuance for IMGs is ECFMG: an international graduate not using FCVS must have ECFMG send certification of a standard certificate with indefinite status directly to the Board, under WAC 246-919-340.
The common mistake is mailing copies of your own transcripts or diploma. The consequence is rejection, because documents must come directly from the originating source; applicant copies are not accepted.
A misconception is that FCVS replaces the UA. It does not; FCVS only replaces verification forms, and you still must complete and submit the online UA.
Three Filled-Out Examples Using Real Scenarios
The walkthroughs below follow three common applicants through the major sections of the Washington MD application.
Scenario 1: Dr. James O’Brien, a new U.S. residency graduate seeking his first full license.
| Form Section | What James Enters |
|---|---|
| Legal Name | O’Brien, James, Patrick exactly as on his birth certificate |
| Social Security Number | His nine-digit SSN, verified against his card |
| Medical School | University of Washington School of Medicine, graduated 05/2023 |
| Postgraduate Training | Internal Medicine residency, 07/2023 to 06/2026, three full years |
| USMLE | Steps 1, 2, and 3 all passed, dates listed |
| Chronology of Activities | Residency plus a two-month relocation gap, each break over 30 days noted |
| Personal Data Questions 1–9 | All answered No |
| Addendum 1 Fee | Check for $511.00 to Washington Department of Health |
| Affidavit | Notarized with signed 2×2 photo, mailed to the Commission |
Scenario 2: Dr. Anjali Mehta, an experienced IMG moving from another state.
| Form Section | What Anjali Enters |
|---|---|
| Legal Name | Mehta, Anjali, Rao from her marriage certificate |
| Alternate Name | Rao, Anjali, her name before marriage |
| ECFMG | Standard certificate with indefinite status, sent via FCVS |
| Postgraduate Training | Family Medicine residency completed, over two years |
| Licensure History | Active license in Texas, a recognized jurisdiction |
| Chronology of Activities | All jobs since graduation, including time abroad, listed separately |
| Addendum 3 Temporary Permit | Requested, since Texas is a recognized jurisdiction |
| Credentials Path | FCVS, to reuse the profile in future states |
| Affidavit | Notarized, signed photo attached, mailed to the Board |
Scenario 3: Dr. Marcus Lin, a Washington resident moving from a postgraduate limited license to a full license.
| Form Section | What Marcus Enters |
|---|---|
| Legal Name | Lin, Marcus, Wei as on his birth certificate |
| Social Security Number | Nine-digit SSN entered carefully |
| Postgraduate Training | Surgery residency completed in Washington, dates listed |
| Personal Data Question 2 | Yes, with certified court records for a misdemeanor at age 20 |
| Malpractice Page | One dismissed 2019 claim, with the dismissal order attached |
| Chronology of Activities | Continuous training, no unexplained gaps |
| Application Fee | $186.00 transition fee from a postgraduate training limited license |
| Credentials Path | FCVS, planning licenses in three states |
| Affidavit | Notarized with current signed photo, mailed to Olympia |
How to File the Completed Form
The Washington MD application uses two channels at once: an online submission for the core UA and mailed paper for the addenda, fee, and notarized affidavit. Both must be complete before review begins.
Online (the UA core). Submit the core application through the Uniform Application portal after selecting the Washington Medical Commission. There is no separate online card payment for the application fee on this channel; the fee travels with the paper Addendum 1. Keep a screenshot or confirmation of your online submission as proof of filing.
By mail (fee and addenda). Mail Addendum 1 with your check or money order for $511.00 payable to the Washington Department of Health, along with the other addenda, to: The Department of Health, PO Box 1099, Olympia, WA 98507-1099. Accepted payment is check or money order only on this form. Keep a copy of the check number and a photo of every page you mail.
By mail (verification and affidavit). Verification forms from your school, programs, and exam bodies, plus your notarized UA Affidavit, go to: Washington Medical Commission, Attn: MD Credentialing Unit, PO Box 47866, Olympia, WA 98504-7866. The email for questions is Medical.Licensing@wmc.wa.gov.
Plan for processing time. The Commission asks you to allow a minimum of sixteen to twenty weeks; once a file is complete, routine applications need about 14 days, while non-routine files take longer, per the UA instructions. Your proof of filing is your online confirmation plus your mailing records, so keep both until the license issues.
What Happens After You File
Once the Department of Health receives your application and fee, staff review it for completeness and notify you of any missing documents or data. They pull your American Medical Association physician profile and your FSMB data bank clearance report electronically; if staff cannot obtain those, you must request and pay for them yourself, as noted in the UA instructions.
Expect a possible fingerprint-based background check. Washington law authorizes the Department of Health to run checks through the Washington State Patrol and the FBI, usually if you have lived in another state or have a Washington criminal record, and the cost falls to you. A “yes” on any personal-data question routes your file to a Commission designee for closer review, which lengthens the timeline.
Be aware of two hard limits. You cannot withdraw the application once the Commission decides grounds exist for denial or for a conditional license. And if you have not practiced clinical medicine for two or more years, the Commission may require an exam or assessment such as SPEX, CPEP, or PACE, and once it makes that request you cannot withdraw, as the instructions explain.
When approved, your initial license expires on your next birthday, though licenses issued within 90 days of your birthday run to the following birthday, under WAC 246-12-020. After that you renew every two years on your birthday and complete 200 hours of continuing education every four years.
Mistakes to Avoid When Filling Out the Form
Each mistake below has stalled real applications. Avoid them and you protect your timeline.
- Using a name that does not match your legal documents, which can lead to outright denial.
- Leaving the Alternate Name field blank, which prevents the Commission from matching documents filed under your former name.
- Entering the same address for home and business, which triggers a system error and blocks submission.
- Failing to explain a gap of 30 days or more in your chronology, which gets the application returned for explanation.
- Reporting a malpractice claim but omitting the final disposition document, which leaves the file incomplete.
- Answering “yes” to a personal-data question without attaching certified court records, which means the application will not be considered.
- Reporting traffic infractions you did not need to report, which adds confusion, while missing an actual misdemeanor delays or denies the file.
- Mailing copies of your own transcripts or diploma, which are rejected because verification must come from the source.
- Submitting the online UA but forgetting to mail Addendum 1 and the fee, which stops processing entirely.
- Sending the Washington affidavit to FCVS instead of the Board, which directly delays licensure.
- Attaching a digital or proof photo rather than a signed 2×2 passport photo, which the Commission rejects.
- Printing the physician assistant pages (19–29) instead of the MD pages (1–18), which means filing the wrong forms.
Do’s and Don’ts
A short list of habits that keep your application moving.
Do: – Do gather every document and ID number before you open the form, because missing items run down the one-year deadline. – Do use your exact legal name on every document, since simple name mismatches are a leading cause of delay. – Do account for all time since graduation, because the Commission requires a complete, gap-free chronology. – Do attach final disposition records for every malpractice claim, since the file stays incomplete without them. – Do answer the personal-data questions truthfully, because an honest “yes” is far safer than a hidden problem. – Do keep proof of filing and mailing, since you may need to show you submitted on time.
Don’t: – Don’t reuse one address for home and work, because it triggers an error that blocks submission. – Don’t send your own copies of transcripts, since only source-issued documents are accepted. – Don’t forget the paper fee form, because the Commission will not process the file without payment. – Don’t omit a former name, since documents filed under it cannot be matched to you. – Don’t request a temporary permit if you answered “yes” to a personal-data question, because review erases the speed benefit. – Don’t let the application sit past one year, since it becomes invalid along with your fee.
Pros and Cons of Filing on Your Own vs. With Help
Many physicians weigh self-filing against using FCVS or a licensing service. The table-free breakdown below shows the trade-offs.
Pros of filing on your own: – You save the cost of a licensing service, keeping spend close to the $511 fee. – You control your own timeline and document collection directly. – You learn the requirements firsthand, which helps with future renewals. – You avoid handing sensitive records to a third party. – You can move fast if your history is clean and your documents are ready.
Cons of filing on your own: – You shoulder all the detail work, where small errors cause long delays. – You must chase schools, programs, and exam bodies for source-issued documents. – You re-enter everything if you later license in another state without FCVS. – A “yes” on a personal-data question is harder to navigate without guidance. – One missed addendum or unsigned form can stall the entire file for weeks.
FCVS Path vs. Direct Verification Path
The two verification routes differ in speed and reusability.
| Factor | FCVS Path | Direct Verification Path |
|---|---|---|
| Who sends documents | FCVS verifies and forwards everything | You arrange each source to send to the Board |
| Verification forms | You skip the UA verification forms | You complete each verification form |
| Reusability | Profile reused for future states | You start over for each new state |
| Best for | Doctors licensing in multiple states | Doctors filing in Washington only, with documents ready |
FAQs
Is the Washington MD application the same as the Uniform Application?
Yes. Washington uses the Uniform Application (UA) as the core MD application, paired with a Washington addendum packet and notarized affidavit submitted to the Commission.
Is FCVS required to apply in Washington?
No. The Commission highly recommends FCVS but does not require it; applicants who skip it must arrange source verification directly with the Board for all credentials.
Is the application fee refundable if I withdraw?
No. Under WAC 246-12-340, all application fees, including the $511 MD fee, are non-refundable once submitted.
Do I write my maiden name or married name in the Legal Name field?
Yes, write your current legal name there; the maiden or former name goes in the separate Alternate Name section, with proof of the change sent to the Department of Health.
Do I list traffic tickets under Personal Data Question 2?
No. Question 2 covers misdemeanors, gross misdemeanors, and felonies, and the instructions say you do not have to report ordinary traffic infractions.
Do dismissed malpractice claims have to be reported?
Yes. You must report all past and current claims, including dismissals, and attach the final disposition document for each one.
Do I have to enter different home and business addresses?
Yes. The form requires separate home and business addresses; entering the same address for both triggers an error that blocks submission.
Is a Social Security number required to apply?
No, you can apply without one, but you must complete Addendum 5; an ITIN or Canadian SIN cannot substitute for an SSN.
Do I send my own transcripts to the Board?
No. Copies from the applicant are not accepted; transcripts and certificates must come directly from the originating source or through FCVS.
Is a temporary permit the same as a license?
No. A 90-day temporary permit is a short bridge that expires on full-license issuance, on the start of an investigation, or after 90 days.
Does a criminal record automatically disqualify me?
No. The Commission states criminal history may not automatically bar licensure, but failing to report it with certified records can delay or deny the application.
Do osteopathic (DO) physicians use this same form?
No. DO physicians apply to the Washington Board of Osteopathic Medicine and Surgery; this UA is for allopathic (MD) graduates only.
Is the photo on the affidavit allowed to be a digital print?
No. It must be a color 2×2 passport-quality photo under six months old, signed in ink; proofs, negatives, and digital photos are rejected.
Do I still complete the UA if I use FCVS?
Yes. FCVS only replaces the credential verification forms; every applicant must still complete and submit the online Uniform Application.
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