Application Template Letters and Accommodation Requests Forms

Application Template Letters

All applicants must use the appropriate template letters below based on their application pathway. Letters of recommendation will not be accepted or considered in the certification eligibility verification process.

The template language should be copied onto institutional letterhead and all letters must contain an appropriate signature. Letters that do not follow the template, are not on letterhead, or do not contain an appropriate signature will not be accepted. 

Fellowship Training Verification Template Letter 
Academic Appointment Verification Template Letter
Subspecialty Practice Time Verification Template Letter 
Clinical Neuromuscular Pathology Practical Expertise Verification Template Letter

Special Testing Accommodations Forms

The UCNS recognizes that physicians with disabilities may wish to take the certifying examinations and will attempt to make accommodations for applicants with verified disabilities. Applicants who request accommodations because of a disability must do so at the time of application. The application and documentation substantiating the disability must be included with the subspecialty certification examination and be submitted by the subspecialty examination's posted application deadlines. Please refer to the Information for Applicants for more information.

Special Testing Accommodations Form

Nursing Mother Testing Accommodations Forms

The UCNS fully supports medically necessary testing accommodations for pregnant and nursing candidates. Examinees who are pregnant or nursing at the time of their examination may request an extended break time using the Nursing Mother Accommodations Form. Accommodation requests can be submitted at the time of certification application or no later than 60 days prior to the start date of the certification examination testing week.

Nursing Mother Accommodations Form