Who this is for: Your case shows Pending/Accepted and you’re unsure what happens next.
Summary: Pending = ECFMG is waiting on your school via EMSWP. Accepted = school confirmed your status; ECFMG will then generate the invoice/next step (often within 24–48 hours).
What to do
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Pending for more than a few business days: email/call your dean’s/registrar’s office to nudge them to respond in EMSWP.
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Accepted but no next step after 48 hours: contact ECFMG to link/generate the invoice or permit.
Special cases
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Recent graduation/status change can affect eligibility for extensions vs reapply.
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Name/date of birth mismatches can stall the case—fix in MyECFMG → Account and notify support.
Quick reply script:
“Pending” means they’re waiting on your school; ask your registrar to complete the EMSWP task. “Accepted” means you’re through—expect the invoice/next step in ~48 hours; if not, have ECFMG link it.