Nyc Tlc Medical Form - The last 5 digits of your social security number (ssn) or employer identification number (ein). You need to submit this form with your application and other required documents. Web tlc medical certification form. No other form can be used or will be accepted. This form must be completed, signed, and stamped by a licensed physician. Use the links below to learn more about the resources available to you. Web you can submit your completed medical form to the tlc through its online tlc upload portal. Please have the following information ready before you begin: The zip code of your mailing address; The date of the examination cannot be more than ninety (90) days prior to the date you submit your application.
The zip code of your mailing address; Web tlc medical certification form. The last 5 digits of your social security number (ssn) or employer identification number (ein). Please have the following information ready before you begin: Web you can submit your completed medical form to the tlc through its online tlc upload portal. Use the links below to learn more about the resources available to you. The date of the examination cannot be more than ninety (90) days prior to the date you submit your application. You need to submit this form with your application and other required documents. This form must be completed, signed, and stamped by a licensed physician. No other form can be used or will be accepted.