Expert Registration Application

Area of Expertise (Check All that Apply):*

(Adult) Forensic Psychology / Psychiatry
(Child) Forensic Psychology / Psychiatry
Sexual Assault Forensics
Forensic Toxicology
Accident Reconstruction
DNA / Serology
GSR / Ballistics
Investigations
Radiology
Forensic Pathology
Other

Type of Application

3-year Registration $325
1-year Registration $150

If Other Please Specify

Current Position

Nearest Base (If Applicable)

Year Began Position

Projected Finish Date (If Applicable)

Last Name*

First Name*

Middle

Suffix

Email

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Forensic Board Qualifications (If Applicable)

Year(s) Passed / Re-qualified

If your expertise requires a licensure, is your license current and in good standing? (Choose one)

Yes
No

Have you ever received a complaint through any licensure? (Choose one)

Yes
No

If Yes, Please Explain:

Military Branch of Service (if applicable)

AC
RC
NG

Years?

Military Practice (Number of Courts-Martial as Expert Consultant or Expert Witness) Choose One

State Practice (Number of Cases as Expert Consultant or Expert Witness) Choose One

Other Federal Practice (Number of Cases as Expert Consultant or Expert Witness) Choose One

Has any court ever NOT recognized you as an expert witness in a case where you were offered as an expert? (Choose One)

Yes
No

If you were not recognized as an expert, please provide two days

Name

Email

Phone

Name

Email

Phone

Name

Email

Phone

Curriculum Vitae: PLEASE attach a copy of your most up-to-date curriculum vitae.

Max. file size: 50 MB.

By your signature on this application you are representing that you are a recognized expert in one or more fields, that you intend to act in the highest standards of professionalism, including that you will not schedule more than one case during the same exact time period, and that the attached curriculum vitae is a current and accurate representation of your education, training, and experience.

Signature of Applicant*

Date*

Comments

This field is for validation purposes and should be left unchanged.

IAMDL Expert Registration
Application

Raising the Bar

Application Form

International Association of Military Defense Lawyers

Contact Us

IAMDL Expert Registration Application

Raising the Bar

Application Form

International Association of Military Defense Lawyers

Contact Us

IAMDL Expert Registration
Application