Please choose from the following
Credit Card Transaction Form
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 preferred method of
payment; alternate payment methods (i.e., cheque) will delay payment.
- Expense Claim Forms
Use Expensify to claim
your NLMA-related expenses. The free service will help you
automate and manage the expense claim process through the Expensify mobile app and website, and reduce processing and
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.
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.
- Honoraria Claim Forms
Use this form to claim honoraria
pertaining to work under the NLMA, including the Clinical
Stabilization Fund (CSF).
Use this form to claim
honoraria pertaining to work under the Family Practice Renewal Program (FPRP).
Available in the NLMA
Membership Administration section.
Honorary Life Membership Award Use this form to
nominate an NLMA member for the NLMA Honorary Life Membership
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.
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
Newfoundland and Labrador Medical Association
NLMA House, 164 MacDonald Dr., St. John's, NL, Canada, A1A 4B3
(709) 726-7424 | Toll Free (800) 563-2003 | Fax
email@example.com | Web