Resident / Fellow

• Certificate Replacement Request Form
• Graduating/Exit Requirements Form 

Health & Benefits

• COBRA Forms
  • General Notice of COBRA
  • Letter
  • Enrollment Form
• Communicable Disease Prevention Certification Form
• Direct Deposit Form
• Extended Leave - Pool Request Form 
• House Officer Contract (Sample)
• Leave of Absence Form
• Moonlighting Forms:
  • AY 24-25-ML Form
• UHC Life Insurance Beneficiary Form
• UHC Health Enrollment Forms

Reimbursement 

• Travel Request Checklist
• Pre-Approval (TAR) Form
• T & E Form

Program / GMEC

• Attestation Statement
• Crisis Management Toolkit
• Fitness for Duty Assessment  
• Non-Match Candidate Application
• Candidate Pre-Screening Form
• Offer Letter(Sample)
• Offsite Rotations
• Program Letter of Agreement (PLA) 
  
  • PLA Template
  • VA PLA Template
• Scope of Practice Template
• New Program Request Form(GMEC)
• Request for Change in Program Director(ACGME Programs)
• Request for Change in Program Director (non-ACGME Programs)
• Resident/Fellow Complement Change Form (GMEC)
• Request for an Exceptional Applicant (GMEC)
• Request for a Rotation, Assignment, or Site (GMEC)
• Waiver/Liability Release