2024 Maintenance of Certification Application Form

Please submit this form for both mandatory or optional applications. Those who are successful with their MOC renewal will receive a confirmation letter for their office and be allowed to download a special MOC graphic for promotional use.

Mandatory applications for the MOC of Diplomates boarded in 2018 must be received through the ABVO/MOC online application form by December 31st, 2023 at 11:59 p.m. MST.

Voluntary applications for the MOC of Diplomates boarded prior to 2015 must be received through the ABVO/MOC online application form by June 30th, 2024 at 11:59 p.m. MST.

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.

Name of Applicant: Name of Applicant: * First Last
Are you mandated to submit MOC or are you submitting voluntarily? *

Are you mandated to submit MOC or are you submitting voluntarily? Voluntary (those boarded in 2014 and earlier) Mandatory (those boarded in 2015 and beyond)
Year Boarded DACVO: *
Are you a current, active ACVO Member in good standing? *
Current Email Address to be Reached with MOC Questions (confirmation will also be sent here): *
Alternate Email Address:
Phone Number (in case the MOC Committee needs to get in touch with you.): *
If passed, would you like a hard copy of the pass letter with the seal mailed to you? *

If passed, would you like a hard copy of the pass letter with the seal mailed to you? Yes No
Address to Mail MOC Certificate: Address to Mail MOC Certificate: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Application Fee: *

Application Fee: Current ACVO Member $100 Non-Member Diplomate $200 Non-Compliant Diplomate Application (for those who neglected to submit, failed MOC or failed an audit by MOC) $250
Please upload your Excel file here: (DO NOT change to another format, must remain in Excel)
This file will show as a link in your final confirmation. Please be sure you are submitting with the most current spreadsheet from ABVO.us/MOC.

Note: Failure to submit the most current MOC excel sheet may result in rejection of application and/or failure of MOC. *

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2024 Maintenance of Certification Application Form

2024 Maintenance of Certification Application Form

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