Certify & Submit

For Intramural Employed inside NIH or Extramural Employed outside NIH LRP Applicants

On the Certify & Submit screen, complete the checkboxes to indicate that you have read the Certifications for Online Applications and your NIH Loan Repayment Program Contract. Completing these checkboxes and entering your name serves as your signature on these documents.

IMPORTANT: Consult the following for LRP policy guidance, including assistance on each field on the LRP application forms:
Instruction Guide for Extramural LRP Applicants:

Instruction Guide for Intramural LRP Applicants:
Also see the LRP website:

To complete the Certify & Submit form:

1. Click the Edit button to enable editing the form.

2. Read each section and mark its checkbox. Required fields are marked with red asterisks (*).

3. Complete the first signed certification by entering your name and clicking the accompanying certification checkbox. This serves as a legal signature.

4. Read the contract, and then complete the second certification by entering your name and clicking the accompanying certification checkbox. This serves as a legal signature.

5. Click the Save button when finished. The form will be validated and alert you about any potential errors.