Free affidavit of identity 46Free affidavit of identity 46
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UNITED STATES MEDICAL LICENSING EXAMINATION®
STEP 3 APPLICATION
CERTIFICATION OF IDENTITY
NOTE: You must also submit your Step 3 application and fees in order for FSMB to
complete your Step 3 registration.
This form must be signed by a notary public/commissioner of oaths. The notary must either be
in English or have an English translation attached. When completed and submitted to the
FSMB, this form becomes part of your USMLE records and will be used to identify you when
you interact with the FSMB.
This Certification of Identity is valid for USMLE Step 3 applications submitted within
five years from the date of your signature. If you need to reapply for or retake Step 3
within that time period, it is not necessary to submit a new CID.
ATTACH PHOTO
HERE

Securely tape or
glue in this square a
current front view
2”x2” color or
passport quality
photo.
(Print your full
name and USMLE
id number on the
back of the photo
before attaching.)

USMLE ID: ______________
Type or print in uppercase