The Office of the Professions will not accept this form if submitted by the applicant.
- Use this form to verify licensure in another jurisdiction. This jurisdiction should be:
- Your primary place of practice. If this jurisdiction does not license geologists then
- The jurisdiction of original licensure.
- Use this form to verify that you passed the Fundamentals of Geology examination and/or the Practice of Geology examination in another jurisdiction. Complete Section I of this form and be sure to sign and date item 9. Then send this form to the jurisdiction(s) from which you wish to have examination grades transferred or to ASBOG, and ask that they complete section II and return the form directly to the Office of the Professions.
Note: A Form 3 is not required for licenses/certificates issued by the New York State Education Department. Also, If the certification/verification documentation provided by a U.S. jurisdictions contains the same information requested in the Form 3, completion of a Form 3 for that jurisdiction is not necessary. For certification/verification documentation that does not contain the same information, a Form 3 will need to be completed for that jurisdiction.
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