Cir form 2026

1. Click ‘Get Form’ to open the cir form in the editor.
2. Begin by filling in your personal information. Enter your name, Social Security number, address, phone number, email, hospital affiliation, and PGY level in the designated fields.
3. List all medical books, audio/video tapes, and compact discs you are claiming reimbursement for. Include the cost and date purchased for each item.
4. Proceed to list any medical equipment and board/licensure examination fees. Again, ensure you provide the cost and date purchased for each entry.
5. Next, document any dues and journals for medical societies along with their costs and purchase dates.
6. If requesting reimbursement for an electronic medical device, complete that section with details of the device, its cost, and purchase date. Ensure your chairperson signs this section.
7. Review all entries for accuracy before submitting your claim to ensure compliance with submission rules.

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