The Request for Packet Submission to Off-Shore and International Medical Schools Form must be completed and submitted to the Pre-Health Office before the Office will submit your committee or cover letter packet to the designated schools.  No payment to the Office is required.  Please note that this form is not used for the following schools which instead utilize AMCAS and letter packets are submitted via the AMCAS Letter Writer Application: Ponce Health Sciences University School of Medicine, San Juan Bautista School of Medicine, Universidad Central del Caribe School of Medicine, and University of Puerto Rico School of Medicine.