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Moonlighting (Final Year Specialty Locum ER-GP Locum 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name, program, and email address in the designated fields. Ensure that your information is accurate for processing.
- Indicate your PGY level and CMPA code. If you have a current ACLS certification, select 'Yes' or 'No' accordingly. Note that certain specialties require this certification.
- Fill in the scheduled rotation details at the time of locum, including location and any relevant dates and times using the 24-hour clock format.
- Complete the section for requesting division head/site chief by providing their name and signature.
- If applicable, indicate any annual leave requests ensuring it does not compromise your rotation requirements.
- Finally, certify that all information is correct by signing and dating the form before submission.
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