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Veterinarian Shortage Situation Nomination Form

State Animal Health Officials (SAHOs) must use the veterinary shortage situation nomination form for the nomination of veterinarian shortage situations to the Veterinary Medicine Loan Repayment Program (VMLRP). All shortage nomination form(s) must be submitted in a single email by emailing all completed PDF form(s) to by an authorized State or Insular Area Animal Health Official. 

The form is available as a fillable PDF. Please follow these steps for accessing the required nomination form:

  1. Download the form and save on your computer as a PDF. 
  2. Open in Acrobat and fill out the form. (a free version of Acrobat can be found here)
  3. Save completed and filled form to your computer as a PDF.

If you have trouble accessing the form please contact us:

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