Use the FormsPal editor to complete the reinstatement application online, then download and print the filled PDF for mailing. No software installation is required.
Steps to Fill Out the Form Online
- Click "Get Form Now" at the top of this page to open the form in the FormsPal editor.
- Enter your personal details: full legal name, mailing address, phone number, and email address.
- Type your certification number and select your credential type (MT, MLT, RMA, RPT, RDA, or other).
- Describe your professional history, including your employer name, job title, and employment dates showing recent practice in your specialty.
- Note the continuing education units you have completed, including provider names and completion dates.
- Review all entries for accuracy. Incomplete or inaccurate information can delay processing.
- Click "Download PDF" to save the completed form. Sign it and send it with your reinstatement fee to Medical Technologists, 10700 W. Higgins Road, Rosemont, IL 60018.
Frequently Asked Questions
What is the reinstatement fee?
The fee varies by certification type. Review the current fee schedule on the AMT website before submitting. Accepted payment methods include Visa, MasterCard, and Express.
How long does reinstatement take?
Applications are typically processed within four to six weeks after receiving a complete submission with payment. Incomplete applications may be returned without action.
Can I reinstate if my certification lapsed more than five years ago?
Certifications lapsed for five or more years generally require retaking the exam rather than using the reinstatement pathway. Check your eligibility directly with AMT before applying.
Where do I send the completed form?
Send the signed form with payment to Medical Technologists, 10700 W. Higgins Road, Rosemont, IL 60018.
For other professional healthcare documents, see non-FMLA medical certification forms and medical assisting resources on FormsPal.