THE AMERICAN BOARD OF PATHOLOGY
REPLACEMENT CERTIFICATE REQUEST FORM
The ABPath does not issue duplicate certificates. To request a replacement certificate to be engraved, complete and submit this form to the ABPath along with credit card authorization or check for $100.00. The replacement certificate will indicate that the certificate is a replacement and the date of the replacement. Do not check more than one certificate below. If more than one certificate needs to be replaced, a Replacement Certificate Request Form must be completed and submitted with payment for each certificate.
Please submit the full name and Last 4 digits of social security number or the Date Of Birth for each certificate request.
Due to the extensive engraving process, it may take up to 30 days to receive your certificate.
Once this form is completed, please click the "Continue to the Payment page" button at the bottom to enter your payment on the next page.