Extension of Board Eligibility due to COVID-19 Pandemics Was board eligibility extended due to COVID-19 pandemics?YesNoNBMTM IDI am:* I certify that I have been affected by the COVID-19 outbreak. I understand that I will not be eligible for any additional extension under any circumstance after this request. I understand that I will receive a 6-month extension starting from the expiration date of my inital board eligibility and I will make my best efforts to take the examination before my board eligibility expires. Date* Date Format: MM slash DD slash YYYY E-Signature*I certify that the foregoing is true and correct. Enter your full name. You have already extended eligibility
