Authorization for Interstate Exchange of Examination and Licensure Information (VM 10)
This form is essential to the application you are filing with this Board. Before approval of your application, the Board of Veterinary Medicine must verify your examination history and/or licensure status.
REQUIREMENTS: Complete the initial portion of this form and then forward it to the state in which you are licensed or have previously been licensed. That Board, in turn, will complete the remainder of this form (Part B) and return it to this agency.
FEE: No fee required.
APPLICATION: Complete the application by clicking the "Printable Application" link at the bottom of the page.
If you have questions or need assistance in completing this application, please call the Customer Contact Center at 850.487.1395 or use our convenient contact form.
Application Currently Unavailable Using Online Services
Under Florida law, email addresses are public records. If you do not want your email address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail.
If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one.
The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public.