Webform According to the STS Bylaws Article III, Section 11, "inactive status may be granted to any Surgeon Member prior to eligibility for Senior Membership only for reason of incapacity by disability or retirement from employment in the field of medicine prior to attaining the age of sixty-one. A Surgeon Member who believes that he or she qualifies for inactive status must submit, in writing, a request for change in status to the Secretary for consideration and recommendation to the Board of Directors, which will have final authority for action." Please complete the form below to request inactive status. Your Full Name Your Email Address Your Date of Birth Please select the scenario below that applies to your situation. - Select -I am requesting inactive status for reason of incapacity by disability and I am not employed in the field of medicine in any capacity.I am requesting inactive status for reason of retirement from employment in the field of medicine in any capacity prior to attaining the age of sixty-one.Neither of the above scenarios applies to my situation. Please briefly explain your current disability/employment circumstances in support of your request for inactive status. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank