Imb Routes 4 and 5 Work
Imb Routes 4 and 5 Work
Institution
Institution Address
BE SURE TO INCLUDE A LETTER OF AUTHENTICITY FROM YOUR LABORATORY MANAGEMENT* OR EMPLOYER WITH THIS
EXPERIENCE DOCUMENTATION FORM. THE LETTER OF AUTHENTICITY MUST BE PRINTED ON ORIGINAL LETTERHEAD. IT MUST STATE
THAT THE EXPERIENCE DOCUMENTATION FORM WAS COMPLETED, SIGNED AND DATED BY YOUR LABORATORY MANAGEMENT*
OR EMPLOYER. EXPERIENCE DOCUMENTATION FORMS RECEIVED WITHOUT LETTERS OF AUTHENTICITY ARE UNACCEPTABLE.
*Management is defined as someone in a management role who can verify technical experience.
See www.ascp.org/boc/intl-documentation for submission instructions.
ASCP BOC International 33 West Monroe Street, Suite 1600, Chicago, IL 60603 | www.ascp.org/international | Revised: July 2022 | Page 1 of 1