Please choose from the following
Direct Deposit Form
Use this form to start,
change, or cancel direct deposit.
Direct deposit is the only method
payments; alternate methods (i.e., cheque), if available, will delay payment.
- Expense Claim Forms
NLMA or FPRP expense
be done via Expensify, a free service that
automates and manages the process through a mobile app and website.
Submission Expenses claimed using the below PDF forms
must be submitted via postal mail or fax.
Expense claim forms
and associated receipts are no longer accepted via e-mail
processing of these submissions takes longer than those submitted
Use this form to claim expenses
for an external claimant, such as 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 an internal claimant, such
as a staff person. 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
for work under the NLMA, including the Clinical
Stabilization Fund (CSF).
Use this form to claim
honoraria for 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
NLMA Member Information Request Form Use this
form to request NLMA member information.
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