8. Click submit
9. You will be relocated to a confirmation page, make sure to screenshot this receipt for your
record. Your ECFMG number should be issued in 5 days, but it might take longer.
Please reach out to ECFMG if this problem persists.
Step 2:
NotaryCam and Form 186
Once you get an ECFMG number you can connect with the NotaryCam service and complete the
Form 186. The form can be downloaded from the ECFMG website along with the instructions once
you’ve completed the online portion of the application. The instruction PDF can be found at the end of
this document. You need to upload the incomplete Form 186 to the NotaryCam website (it will be filled
in later). You also need to upload a clear photo of your passport, including borders (the entire page
containing your photo is required). An email will be sent in order to schedule the conference call, during
which you need to have your passport present. You will fill and sign the form 186, which includes them
taking a picture of you, and then ask them to email you a copy of the completed form. Fees for using
NotaryCam were included in your application fee, therefore you will not be required to pay any fees to
get your Form 186 certified.
The website for NotaryCam is: https://www.notarycam.com/ecfmg
You should receive a confirmation email once the form is received by ECFMG and another email
once the Form 186 has been approved by ECFMG. ECFMG says it can take 10-14 days for the completed
form to be processed, though some students said it only took a few days.
Step 3:
USMLE Step 1 Application
After your Form 186 has been approved, you can then complete the Step 1 application.
Payment of $150 is required at this step and make sure to follow all prompts after payment to
complete the process.
After submitting your application, it may take 2-3 weeks for ECFMG to process. ECFMG will then
submit the application to UQ for verification that you are a student. UQ checks the portal and approves
applications daily. If it has been longer than 3 weeks since submitting your application, please contact
ECFMG to determine the cause of the delay.