Maintenance of Certification Application Form

Maintenance of Certification Application Form

Please submit this form whether you are required to submit MOC (those boarded 2015 or later), or if you are choosing to opt-into the MOC program. Those who are successful with their MOC renewal will receive an additional certificate for their office and be allowed to download a special MOC graphic for use on their website and publication materials.

All forms received between July 9th, 2018 and July 1st, 2019 will be considered for the end of the year MOC 2019 cycle.

Note for completing spreadsheet: First time mandated applicants should add credits for MOC from the months of the calendar year subsequent to achieving Diplomate status to the first column on the MOC credit spreadsheet with the first full calendar year data.