How to use or fill out MOONLIGHTING REQUEST FORM - Faculty of Medicine
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name and program in the designated fields at the top of the form.
- Fill in your CMPA code number and PGY level, ensuring accuracy for proper processing.
- Select the category of moonlighting you are applying for, such as Emergency/General Practice or Final Year Specialty Locum, and provide the location.
- Indicate your on-call category and ensure you have completed at least one rotation in that specialty.
- Complete the date and time fields using a 24-hour clock format for both start and end times.
- Sign and date the form, certifying that all information is correct. Ensure that any leave requests are approved prior to submission.
- Finally, submit the completed form to the PGME office at least two business days before your intended start date.
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