Can a letter of recommendation be submitted as an update?

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Can I submit a LOR as an update?

If not, how do I provide proof of activity?

Is submitting a paper for publication considered an update (still in the process of review)?

1) Generally no. AMCAS states all LOR must go through the AMCAS portal
2) You don't. That's why no one cares about updates
3) No. It must be accepted and published.
 
I don’t think submitting a paper is worthy of an update! Lots of stuff gets submitted and then rejected etc!

I have no idea what you mean by “ proof of activuty”.

And I don’t know about a late LOR or how it would be viewed!
 
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