• Direct Deposit Form

• Extended Leave - Pool Request Form

• House Officer Contract (Sample)

• Leave of Absence Form (effective 7/1/2025)

• Moonlighting Form AY 25-26

• Moonlighting Form AY 26-27

• UHC Life Insurance Beneficiary Form

Resident / Fellow

• Certificate Replacement Request Form
• Graduating/Exit Requirements Form

Reimbursement

• Pre-Approval (TAR) Form
• T & E Form

• Attestation Statement

• Billing Change Request Form

• Crisis Management Toolkit

• Fitness for Duty Assessment

• Non-Match Candidate Application

• Candidate Pre-Screening Form

• Offer Letter Instructions

• Off-site Rotations

• Program Letter of Agreement Template

  • Major Affiliate

  • Non-major Affiliate

  • VA Program Letter of Agreement Template

• Board Pass Rate Tracker 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

• Semiannual Evaluation Fillable PDF Template
• Semiannual Evaluation Static PDF Template
• Semiannual Evaluation WORD Template