For detailed information on ECFMG’s Payment and Refund policies, refer to the ECFMG Information Booklet and to the ECFMG website at www.ecfmg.org.
Form 900, Rev. SEP 2016
Page 1 of 1
This form is available on the ECFMG website at www.ecfmg.org.
Application for ECFMG Certification ($65)
Application for USMLE Step 1/Step 2 CK ($880 per exam*)
Application for USMLE Step 2 CS ($1,535 per exam)
Extension of USMLE Step 1/Step 2 CK Eligibility Period
($70 per exam)
Testing Region Change: USMLE Step 1/Step 2 CK
($65 per region change*)
Score Recheck: USMLE Step 1/Step 2 CK/Step 2 CS
($80 per exam)
Token ($105) – ERAS Applicants: Do NOT use this
form to pay for transmission of your USMLE transcript via
ERAS. Instead, login to AAMC’s MyERAS website.
USMLE Transcript ($65 per request form – up to 10
transcripts) – ERAS Applicants: Do NOT use this
ECFMG Exam Chart ($50 per request form – up to three copies)
ECFMG CSA History Chart ($50 per request form – up to 10 copies)
CVS – State Board ($35)
EVSP (J-1 visa sponsorship) ($285)
Reprint ECFMG Certificate ($50)
Name Change on ECFMG Certificate ($50)
File Copy Fee ($25)
Translation Fee – Medical School Transcript ($250)
*International test delivery surcharges also may apply and must be
Previous Balance/Other (Specify):
Charge my credit card.
By signing below, I authorize ECFMG to charge my credit card in the amount indicated above.
my check, bank draft, or money order made payable to ECFmG is enclosed.
Payment must be made in U.S. funds through a U.S. bank. Include your USMLE/ECFMG Identification Number on your check.