Training Verification
Emergency Medicine Residency

Request for Emergency Medicine Training Verification

Fee Notification

$100.00 for each form.

Requests will only be processed with payment and must include: Full name at the time of training, date of birth, and with an original/wet or notarized digital signature authorization, and a release/consent is also acceptable.

To pay by credit card, please call the cashiers office at 904-244-3500 and reference Account# 71150 for payment of training verification. Ask for a receipt number AND the approval code and email,, and Once payment is processed, the verification may be completed within 5-10 business days based on the availability of the Program Director for signature. Please allow sufficient time for processing.

Payment by check may be submitted with the written request and made payable to UFJPI Account# 71150 and mailed to:

Emergency Medicine Residency Program
Attn: Verifications
655 West 8th Street
Jacksonville, FL  32209