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United States · Licensing exam

USMLE transcripts

FSMB provides USMLE transcripts and charges a fee; depending on who should receive it, you order from FSMB or from the organization that last registered you. A USMLE transcript lists your whole exam history, including failed and incomplete attempts. If you’re applying to residency through ERAS or ResidencyCAS, follow that service’s own instructions for sending your results.

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Updated October 2026 · Written from official sources, listed at the bottom of this page

How do you request a USMLE transcript?

USMLE doesn’t publish the fee. FSMB sets it, so check the amount when you order.

  • To a medical licensing authority: contact FSMB at any time.
  • To anyone else, if you haven’t registered for or taken Step 3: ask the last organization that registered you for a Step.
  • For yourself: also through FSMB, for a fee.

What’s on your transcript

The charts from your original score reports aren’t on the transcript.

  • Your name and identifying details, including date of birth.
  • Every Step you’ve taken, including fails and exams with no result reported.
  • Whether you took older exams such as NBME Parts, FLEX or ECFMG’s CSA.
  • Notes about irregular behavior, and licensing actions reported to FSMB’s Physician Data Center.

Your USMLE transcript for ERAS and ResidencyCAS

For U.S. residency programs, follow the instructions of the application service you’re using. USMLE gives both ERAS and ResidencyCAS the same official, source-certified data, and it asks programs to treat the two formats as interchangeable.

Score report or transcript?

Your score report is for you alone and stays online for about 365 days. To show your results to anyone else, or to see them after that year, you need a transcript.

When USMLE results come out →

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Everything else, in one place

OverviewThe USMLE examScoringHow USMLE scores workApply and scheduleHow to apply for and schedule the USMLECostHow much does the USMLE cost?What to bringWhat to bring to the USMLE, and your USMLE ID numberStep 1USMLE Step 1Step 2 CKUSMLE Step 2 CKStep 3USMLE Step 3Pass ratesUSMLE pass ratesTest centersUSMLE test centersAccommodationsUSMLE test accommodationsResultsWhen do USMLE results come out?BiostatisticsBiostatistics on the USMLELab valuesThe USMLE lab values PDF and reference tableSelf-assessments and Free 120USMLE self-assessments and free official practiceInternational graduatesThe USMLE for international medical graduates: FSMB and ECFMGCOMLEX vs USMLECOMLEX vs USMLEIf you failFailed USMLE Step 1, Step 2 CK or Step 3? How retakes workContent outlineThe USMLE content outlinePractice testFree sample USMLE questionsWhere to learnUSMLE prep: where to studyStudy plannerYour USMLE study plan
Sources: USMLE and 3 more. Checked October 2026.

Rules and fees can change, so check the official site before your test.