How can I request a transcript of my USMLE scores? To obtain your USMLE transcript or have it sent to a third party, you must contact the ECFMG, FSMB, or NBME. Which entity you contact depends on which Steps you have taken and where you want your transcript sent. Contact the FSMB if you want a transcript sent to a medical licensing authority at any time. If you have not registered for or taken Step 3 and you want a transcript sent to a third party other than a medical licensing authority, the request should be sent to the same entity that registered you for Step 1 and/or Step 2, the ECFMG or the NBME. Once you register for or take Step 3, all requests for USMLE transcripts must be sent to the FSMB.
http://www.ecfmg.org/usmle/transcripts/index.html