NLMA Forms
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Please choose from the following options:

  • Credit Card Transaction Form (PDF) Use this form to report charges to an NLMA-issued credit card.
  • Direct Deposit Form Use this form to start, change, or cancel direct deposit. Direct deposit is the only method for most payments; alternate methods (i.e., cheque), if available, will delay payment.
  • Expense Claim Forms
    • PREFERRED! Expensify Use Expensify to claim your NLMA-related expenses, including those for the Family Practice Renewal Program (FPRP). The free service will help you automate and manage the expense claim process through the Expensify mobile app and website, and reduce processing and reimbursement time.
    • Members (PDF) Use this form to claim expenses for an NLMA member. If claiming expenses for more than one purpose (e.g., multiple trips), separate forms must be used. Note, processing of these PDF forms takes longer than expenses submitted via Expensify above.
    • Non-Members (PDF) Use this form to claim expenses for a non-NLMA member. If claiming expenses for more than one purpose (e.g., multiple trips), separate forms must be used. Note, processing of these PDF forms takes longer than expenses submitted via Expensify above.
  • Honoraria Claim Forms
    • NLMA Use this form to claim honoraria for work under the NLMA, including the Clinical Stabilization Fund (CSF).
    • FPRP Use this form to claim honoraria for work under the Family Practice Renewal Program (FPRP).
  • Membership Forms Available in the NLMA Membership Administration section. 
  • NLMA Honorary Life Membership Award Use this form to nominate an NLMA member for the NLMA Honorary Life Membership Award.
  • Parental Leave Allowance Forms Available in the NLMA Parental Leave Allowance section. 
  • Payment Request From Use this form in lieu of an invoice. Invoicing by the payment recipient is the preferred method, but in cases where this is not practical or efficient, this form may be used.
  • Privacy Review the NLMA Privacy Policy.
  • NLMA Website Visit or return to the main NLMA website.

Assistance For assistance, please contact J. David Mitchell, Director, Administration & Membership at (709) 726-7424 (301), (800) 563-2003 (301) or dmitchell@nlma.nl.ca.

Newfoundland and Labrador Medical Association
NLMA House, 164 MacDonald Dr., St. John's, NL, Canada, A1A 4B3
Telephone (709) 726-7424 | Toll Free (800) 563-2003 | Fax (709) 726-7525
E-mail nlma@nlma.nl.ca | Web www.nlma.nl.ca