USMLE Transcript for ERAS 2027: FSMB Guide

Fast answer

The USMLE transcript for ERAS 2027 now requires a two-portal workflow. Request, authorize, and pay through FSMB's USMLE Portal first. Then use MyERAS Additional Documents to initiate score retrieval, confirm the USMLE ID, select Get Scores, and assign the transcript to programs.

FSMB began handling all ERAS transcript requests on June 4, 2026. The rule applies to U.S. graduates and IMGs alike. The 2026–2027 residency-cycle fee is $70 once per cycle, is nonrefundable, and covers later resends during the same cycle.

The transcript is not automatically assigned to programs, and a later score does not automatically update prior recipients. Applicants must make the initial assignments and must select Resend My Scores when a new result becomes available.

An updated transcript cannot go only to a chosen subset of past recipients. MyERAS sends it to every program that previously received the USMLE transcript. The resend action is available once per day and is disabled for 24 hours after each request.

What changed for the 2027 ERAS season

In prior seasons, applicants could encounter different transcript processors based on medical school location. That distinction is gone for ERAS 2027. FSMB, a USMLE co-sponsor, now processes every ERAS USMLE transcript request.

MyERAS remains the application and program-delivery interface. FSMB does not replace MyERAS assignment. Instead, FSMB authorizes and produces the transcript; MyERAS securely retrieves it and delivers it to the programs the applicant selects.

The change creates two required checkpoints. Paying FSMB without initiating retrieval in MyERAS is incomplete. Initiating retrieval in MyERAS without the FSMB authorization and payment is also incomplete.

Who must use the FSMB process

The June 2026 USMLE announcement is explicit: all examinees, regardless of where they attended medical school, submit ERAS transcript requests through FSMB. An IMG should not look for an ECFMG-only score-order route simply because ECFMG is the IMG Designated Dean's Office.

ECFMG still performs several essential ERAS functions for IMGs. It issues the residency Token, processes designated school documents, and automatically transmits the ECFMG Status Report. None of those functions replaces the FSMB transcript order.

An osteopathic applicant with COMLEX-USA history follows a separate NBOME/MyERAS transcript workflow for COMLEX. An applicant reporting both USMLE and COMLEX must manage both records.

The exact cost—and what the $70 does not cover

FSMB lists $70 for the 2026–2027 residency application cycle. It is a one-time cycle charge rather than a per-program charge. FSMB also says there is no additional fee to resend the transcript during that cycle.

If an applicant uses both ERAS and ResidencyCAS, FSMB says both can be selected as Residency Application Service recipients for the same single $70 cycle fee. They must still be added correctly within the order and followed by each application's own retrieval or delivery steps.

Transcript fees are nonrefundable. Do not confuse the $70 with the $185 ECFMG residency Token, AAMC program application fees, NRMP registration, taxes, or examination registration.

Before you begin: identity and account checklist

Most avoidable failures come from identity mismatch. Before paying, compare the source records instead of relying on memory or copying from an old spreadsheet.

AAMC specifically directs applicants with Data Mismatch to check first name, last name, date of birth, and USMLE ID. FSMB warns that discrepancies in name or birth date delay transcript processing while documentation is reviewed and corrected.

• Use the correct FSMB USMLE Portal account; do not create a duplicate because a password reset is inconvenient.
• Confirm the complete USMLE ID from an official account or score record.
• Compare first name and last name in FSMB and MyERAS.
• Compare date of birth in both systems.
• Identify a legal name change before beginning the retrieval.
• Use an email address you monitor, but do not expect email identity alone to match the records.
• Have a valid accepted payment method for the FSMB transaction.
• Know whether the intended service is ERAS, ResidencyCAS, or both.
• Decide whether a recently taken Step result is already officially available.

Step 1: request the transcript in FSMB's USMLE Portal

Open FSMB's official transcript page and use the USMLE Portal login. Create an account only if you genuinely do not have one. Within the transcript order, select Residency Application Service as the recipient type and add ERAS.

Review the identity information, chosen service, cycle, and fee before paying. A generic transcript order sent to yourself is not the same as the residency application service order. Programs receive ERAS transcripts through secure electronic transfer; applicants do not upload a personal PDF into MyERAS.

Save the confirmation page, receipt, order date, and any order number. These details separate an FSMB-order problem from a later MyERAS retrieval problem.

Should you wait for a pending score before ordering?

FSMB says it cannot hold a transcript request pending a future score. If an applicant needs a newly taken exam on the transcript, the current request will not wait in a queue until the score releases.

For the residency cycle, that does not mean an early request makes later delivery impossible. FSMB says resends during the same 2026–2027 cycle do not add another fee, and MyERAS provides Resend My Scores beginning the day a new score is available.

The strategic choice is therefore about screening, not only cost. If a program requires Step 2 CK when it first reviews applications, sending an incomplete transcript and updating later may be less competitive even though the technical resend works. If the score is expected before program access, complete the early authorization and then verify that the available transcript includes the result before delivery.

Step 2: initiate score retrieval in MyERAS

After the FSMB order and authorization are complete, log in to MyERAS. Open Additional Documents, find USMLE Transcript, and select Initiate Score Retrieval under Actions.

Enter or confirm the USMLE ID, select Yes to authorize the action described in MyERAS, and save. AAMC warns that MyERAS cannot fetch the transcript without the correct ID in this workflow and in the Personal Information section.

Then select Get Scores. The wording matters: Initiate Score Retrieval establishes the request; Get Scores performs the retrieval. Applicants should not stop after entering the ID.

How long retrieval should take

USMLE says applicants will typically receive the transcript the same day after submitting the FSMB request and initiating retrieval in MyERAS. “Typically” is not a guarantee and does not cover an incomplete order or identity discrepancy.

Do not wait until the minutes before an application deadline. Same-day processing leaves no safe margin for a name mismatch, an incorrectly entered ID, payment failure, missing score, portal outage, or support response.

A practical target is to complete the workflow early enough to see the final status, inspect the Request Report, and resolve a mismatch before programs begin access.

• Treat same day as an expected processing pattern, not a deadline promise.
• Record the FSMB payment timestamp and MyERAS retrieval timestamp.
• Take a screenshot of the exact status and error wording.
• Do not submit repeated duplicate FSMB orders for a MyERAS mismatch.
• Verify whether a pending score was officially released before troubleshooting delivery.
• Escalate with separate evidence for the FSMB order and MyERAS retrieval.

Step 3: assign the transcript to programs

Retrieving the transcript makes it available to assign. It does not automatically send it to every saved program. In MyERAS, use Assign from Additional Documents or the relevant Saved Programs and Programs Applied To pages.

A transcript is shared only when it is assigned to a program and the applicant applies to that program. Once assigned to an applied program, AAMC says it cannot be unassigned. A closed program cannot receive a new transcript assignment.

Use the Assignments Checklist before payment. The safest workflow treats every program row as an auditable package: application, personal statement, LoRs, USMLE transcript, specialty document, and signal decisions as applicable.

What the official transcript contains

A USMLE transcript is broader than a list of passing scores. USMLE and FSMB describe it as the official, complete examination history available in their records.

Programs may therefore see failed, incomplete, or no-result examination events where reportable, not merely the result an applicant prefers to highlight. Applicants should answer MyERAS questions consistently with the official transcript.

• Name and other personal identification information, including date of birth.
• Complete history of all USMLE Steps and Step Components taken.
• Examinations for which no result was reported.
• Indications of former NBME Parts, FLEX, or ECFMG Clinical Skills Assessment history.
• Applicable annotations concerning scores classified as indeterminate.
• Applicable irregular-behavior findings.
• Applicable actions reported to the FSMB Physician Data Center by licensing or other credentialing entities.
• All available exam history maintained and reportable by FSMB.

What the transcript does not contain

The official transcript is not a duplicate of the original score report. FSMB notes that the graphical performance profile from the original USMLE score report is not included.

It also does not establish ECFMG Certification, reproduce medical school grades, or deliver applicant-written explanations. Those functions belong to other records.

USMLE score reports remain available for a limited period—FSMB states 365 days from release. After that, a transcript can provide the official history, but it does not recreate the missing performance graphics.

MyERAS status: Scores Retrieved

Scores Retrieved means MyERAS successfully obtained score data authorized through FSMB. It is a retrieval state, not proof that every intended program received the transcript.

After this status, inspect the available examination entries, make program assignments, apply, and review the program-level USMLE Transcript Request Report. Do not stop at the green status on the document row.

MyERAS status: Processing

Processing means the retrieval attempt is still underway. A short processing period after the request is normal. Repeatedly clicking actions or ordering another transcript is not a reasoned response.

Confirm that FSMB payment and authorization succeeded, note the time, and allow the typical processing interval. If the status persists beyond the expected timeframe, collect both systems' evidence before contacting support.

MyERAS status: Data Mismatch

Data Mismatch means the systems could not reliably connect the request to the score record. AAMC identifies first name, last name, USMLE ID, and date of birth as the core fields to verify.

Compare characters exactly. Look for transposed digits, a missing hyphen only where formatting matters, reversed surnames, compound names, previous names, and month/day birth-date reversal. Do not alter a legal field merely to imitate a guess.

If the underlying FSMB record is wrong, follow FSMB's correction process. FSMB warns that name or birth-date discrepancies require review and supporting documentation before release.

MyERAS status: No Score Available

No Score Available is not one single error. AAMC lists several conditions that can produce it, so troubleshooting should begin by classifying the score record rather than submitting a random second payment.

First confirm that FSMB shows a paid, authorized residency-service request. Then confirm the Step result is officially released. Next verify the USMLE ID. If the record contains FLEX-only, noncandidate, or other historical examination circumstances, contact FSMB with the exact record context.

Use the USMLE Transcript Request Report

The program-level Request Report is the delivery audit trail. Each row identifies a program and the state of the FSMB request attached to it.

AAMC lists Not Received, Received, and No Scores as core statuses. When a request succeeds, the report adds the most recent score-transfer date and the examination entries included. Later resend requests populate a most recent request date and update the delivery information after fulfillment.

A document-level Scores Retrieved label cannot answer whether Program A and Program B each received the same version. The Request Report can.

How Resend My Scores works

A later result does not automatically flow to programs. Beginning the day the new score is available, open Additional Documents, locate the USMLE transcript, select Resend My Scores, and confirm.

The request updates every program that previously received the transcript. It cannot be sent to only a subset. AAMC permits the action once per day and disables it for 24 hours after use.

After processing, verify the new Step in the Request Report and check the most recent transfer date. A click without a successful transmission state is not complete verification.

Can you choose which programs get a later score?

Not among programs that already received the USMLE transcript. AAMC is explicit that an updated transcript cannot be sent to only a subset of prior recipients.

This has an important strategic consequence: do not promise selective score updating. If a later Step 2 CK or Step 3 result becomes reportable and the applicant selects Resend My Scores, every program with the prior transcript receives the updated official history.

Programs added after the update are handled through ordinary assignment and application. Before adding a program, confirm its current score and attempt rules.

USMLE transcript versus ECFMG Status Report

IMG applicants often wait for the wrong document. The ECFMG Status Report communicates Certification-related status and updates automatically. The USMLE transcript communicates official score and attempt history and requires applicant-controlled retrieval, assignment, and later resend.

A new passing Step result may eventually influence the examinations-passed field or Certification state in the Status Report, but that does not send the numerical score to programs. Complete both workflows.

Should you apply before Step 2 CK is available?

The transcript system can technically support a later score, but program policy determines whether the strategy is sound. Some programs require Step 2 CK for application review. Others accept a pending result or require it only before ranking.

Applications submitted from September 2 through September 23 appear to programs with the September 23 submission date, but that equalized date does not force a program to wait for a later score. If the result will arrive after program access, decide with program-specific evidence.

Use three dates: the official score-report estimate, the program's stated score deadline, and the likely screening window. Add time for mismatch resolution and resend verification.

Do not send a personal transcript PDF to programs

A transcript ordered to “Myself” is for the applicant's records. It is not a substitute for secure service-to-service transmission through FSMB and MyERAS.

FSMB provides official transcripts electronically and sends residency-service transcripts through secure transfer. Uploading, attaching, or editing a personal copy can violate program instructions and cannot create the MyERAS delivery status programs expect.

If a program asks for an unusual score document, confirm the secure channel and exact record requested. Do not email a PDF containing birth date, examination history, or annotations merely because it is convenient.

Repeat applicants and multiple services

The $70 is one-time per 2026–2027 residency application cycle, not permanent access across future cycles. A repeat applicant should create the new cycle's FSMB residency-service request even if an earlier ERAS season contained a transcript.

Applicants using both ERAS and ResidencyCAS can add both services in the FSMB Residency Application Service order. FSMB says the single $70 cycle fee covers both during this cycle. Each platform still has separate application, assignment, deadline, and program rules.

Do not assume that importing an old MyERAS application imports a current official transcript authorization. Treat identity confirmation, FSMB authorization, retrieval, assignment, and Request Report verification as new-cycle tasks.

Troubleshooting by system owner

Efficient troubleshooting begins with the failing boundary. FSMB owns the transcript order, payment, source record, and production. AAMC owns the MyERAS interface, retrieval action, program assignment display, and Request Report. ECFMG owns the separate IMG Status Report and designated-office documents.

A useful support message states the expected action, the actual status, the two timestamps, the relevant IDs, and the exact error. Do not send a general “my transcript is missing” message without saying whether the FSMB order succeeded.

Evidence packet for a support request

• Applicant name exactly as shown in the official account.
• USMLE ID and AAMC ID; provide MyIntealth ID only when ECFMG is involved.
• ERAS 2027 residency season.
• FSMB order date, order number, and payment confirmation.
• Residency Application Service recipient selection.
• MyERAS Initiate Score Retrieval date and time.
• Exact status: Processing, Data Mismatch, No Score Available, Not Received, or another message.
• Expected Step and official score-release date.
• Affected program name and code for delivery-specific problems.
• Screenshot with unrelated sensitive data redacted.
• One precise request for correction or investigation.
• No passwords, one-time codes, or full payment-card information.

Security and accuracy rules

• Use only official FSMB, USMLE, AAMC, and ECFMG pages.
• Do not buy transcript handling from a third party.
• Do not share portal credentials with an advisor or agency.
• Do not email an unofficially edited score report.
• Do not create duplicate FSMB accounts to solve a login problem.
• Do not guess a USMLE ID.
• Do not alter name or birth date to force a match.
• Do not claim a score before the official result is available.
• Do not omit attempts when the application asks for complete information.
• Do not assume a program cannot see a later score sent through the full-history transcript.
• Keep confirmations, but store them securely.
• Correct discrepancies through the system that owns the source record.

Common mistakes

• Paying the $70 in FSMB and forgetting Initiate Score Retrieval in MyERAS.
• Initiating retrieval in MyERAS before completing FSMB authorization.
• Entering the MyIntealth ID or AAMC ID in place of the USMLE ID.
• Stopping after Initiate Score Retrieval without selecting Get Scores.
• Retrieving the transcript but never assigning it to programs.
• Assuming application payment automatically assigns the transcript.
• Expecting a new score to update automatically.
• Trying to resend a new score to only selected prior recipients.
• Clicking Resend My Scores repeatedly during the 24-hour lockout.
• Confusing the ECFMG Status Report with the score transcript.
• Ordering a transcript to Myself and uploading the PDF.
• Assuming a transcript request will wait for a future score.
• Waiting until the program-access morning to resolve an ID mismatch.
• Submitting duplicate nonrefundable orders instead of diagnosing the failed step.
• Ignoring the program-level Request Report.
• Assuming a technical resend guarantees program re-review.

Master 2027 USMLE transcript checklist

• I confirmed the official USMLE ID.
• My first name, last name, and birth date match FSMB and MyERAS.
• I know whether I need ERAS, ResidencyCAS, or both.
• I selected Residency Application Service in the FSMB order.
• I added ERAS as a recipient.
• I paid the one-time $70 cycle fee and saved the receipt.
• I opened MyERAS Additional Documents.
• I selected Initiate Score Retrieval.
• I confirmed the correct USMLE ID in both relevant MyERAS locations.
• I selected Get Scores.
• I resolved any Processing, Data Mismatch, or No Score Available status.
• I confirmed every expected Step is represented.
• I assigned the transcript to each intended program.
• I reviewed assignments before paying for applications.
• I opened the USMLE Transcript Request Report.
• I confirmed Received and the transfer date for every intended program.
• I know the expected release date of any pending score.
• I recorded each program's Step 2 timing rule.
• I will use Resend My Scores on or after official release.
• I understand the resend goes to every prior transcript recipient.
• I will verify the new Step in the Request Report.
• I will not confuse the score transcript with the ECFMG Status Report.
• I kept support evidence without exposing credentials.
• I will recheck live FSMB, USMLE, AAMC, ECFMG, and program instructions.

Bottom line

For ERAS 2027, every USMLE examinee orders and pays for the residency transcript through FSMB. The charge is $70 once for the 2026–2027 application cycle, and the transcript is typically available in MyERAS the same day after both the FSMB and MyERAS steps are complete.

The correct sequence is FSMB request and authorization, MyERAS Initiate Score Retrieval, Get Scores, program assignment, application, and program-level Request Report verification.

A later Step score requires Resend My Scores. The update goes to all programs that previously received the transcript, can be requested once per day, and has no additional FSMB cycle fee.

The official transcript shows complete reportable examination history; it is not the ECFMG Status Report and does not establish Certification. Manage both records independently.

This guide reflects official information available July 18, 2026. Live FSMB, USMLE, AAMC, ECFMG, program, and application-service instructions control if any fee, interface, timing, or policy changes.