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STRICTLY CONFIDENTIAL Application No APPLICATION FORM FOR THERAPEUTIC USE EXEMPTION Please complete all sections in English, in CAPITAL LETTERS or typing. Incomplete applications will be returned

How to fill out formrapeutic use exemption

How to Fill Out Therapeutic Use Exemption (TUE) Form:

1. Begin by obtaining the TUE form from the relevant governing body or organization responsible for overseeing therapeutic use exemptions in your sport or country.
2. Read and understand the instructions provided with the form, ensuring you are aware of the requirements, deadlines, and supporting documentation needed.
3. Fill out the personal information section of the form accurately, providing your full name, date of birth, contact details, and any other necessary information.
4. Identify the specific substance or method for which you are seeking the therapeutic use exemption. Clearly state the name, dosage, frequency, and duration of use.
5. Provide a detailed medical history, describing the condition or illness for which the substance or method is deemed necessary. Include relevant medical reports, laboratory results, and opinions from medical professionals supporting your case.
6. Explain the reasons why alternative non-prohibited substances or methods cannot effectively treat your condition. Emphasize any potential consequences on your health and performance if the exemption is not granted.
7. If applicable, disclose any previous TUE applications or exemptions you have received in the past for the same or related substances or methods. Include the dates and governing bodies involved.
8. If required, include a written statement from your treating physician or specialist explaining the medical necessity and the rationale behind the prescribed treatment. Ensure the statement is signed and dated.
9. Declare that the information provided is accurate and complete to the best of your knowledge. Sign and date the form in the designated section.
10. Submit the completed TUE form along with all supporting documents to the relevant governing body or organization within the specified timeframe. Retain copies of all documents and consider sending by registered mail or certified delivery to ensure a record of submission.

Who Needs Therapeutic Use Exemption (TUE)?

1. Athletes who are currently under medical treatment or need to use prohibited substances or methods for legitimate therapeutic reasons may require a TUE.
2. Individuals suffering from chronic or acute medical conditions that require the use of substances or methods on the World Anti-Doping Agency's (WADA) Prohibited List may necessitate a TUE.
3. Athletes participating in sports governed by organizations that adhere to anti-doping policies and regulations may need to apply for a TUE if their medical condition requires the use of prohibited substances or methods.

Note: It is important to consult the specific anti-doping rules and regulations of your sport or country to determine the requirements and process for obtaining a therapeutic use exemption.

For pdfFiller’s FAQs

What is formrapeutic use exemption?

A formrapeutic use exemption is a special permission granted to athletes to use a prohibited substance or method for legitimate medical purposes.

Who is required to file formrapeutic use exemption?

Athletes who need to use a prohibited substance or method for legitimate medical purposes are required to file a formrapeutic use exemption.

How to fill out formrapeutic use exemption?

Formrapeutic use exemption can be filled out by providing detailed medical information and justification for the use of the prohibited substance or method.

What is the purpose of formrapeutic use exemption?

The purpose of formrapeutic use exemption is to allow athletes with legitimate medical needs to use prohibited substances or methods without facing penalties for doping.

What information must be reported on formrapeutic use exemption?

The formrapeutic use exemption must include the athlete's medical history, diagnosis, treatment plan, and the specific prohibited substance or method being requested for use.

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