UCSF Fresno is a regional campus of the University of California, San Francisco School of Medicine 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, contact details, and residency program.
3. Next, navigate to the salary section. Here, you will find your annual and monthly gross salary based on your postgraduate year. Ensure this information is accurate.
4. Proceed to the benefits section. Review the medical insurance options available and select your preferred plan. Make sure to check for dependent coverage if applicable.
5. Fill out the leave information accurately. Specify any planned vacation or educational leave days as required by your program.
6. Finally, review all entered information for accuracy before submitting the form through our platform.

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