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How to fill out the House Staff Leave Request Form - Department Of Medicine online
This guide provides clear and detailed instructions for completing the House Staff Leave Request Form for the Department of Medicine at the University of Alberta. Ensuring that the form is correctly filled out is essential for a smooth leave request process.
Follow the steps to accurately complete the form online.
- Click ‘Get Form’ button to access the House Staff Leave Request Form and open it for editing.
- Begin by filling in your information. This includes printing your full name in the designated field labeled 'Resident's Name.'
- Indicate the specific rotation for which you are requesting leave. Ensure that this aligns with the days on which you worked your 'Stat' days if applicable.
- For 'Stat' days taken, specify the date you worked these days and the date for which you are taking the leave. Remember that these must occur within the same rotation.
- If you are requesting conference leave, specify the name of the conference and the corresponding dates in the 'Conference Leave' section.
- For personal days, indicate the date you wish to take off in the 'Personal Day Being Taken' section. Keep in mind the guidelines regarding peak times in December and June.
- Highlight the total number of leave days requested and the total taken to date in the provided fields for clarity.
- Complete the dates required for travel indicated on the form, ensuring that they meet the required notice period of 30 days.
- Secure the necessary signature from the impacted staff or service in the 'Signature #1' section before submitting your request.
- Once all sections are filled accurately, review your request for completeness and correctness. Save changes if needed, and prepare to download or print the form for submission.
- Finally, submit the completed form to Doris Kurtz, Office of Medical Education, ensuring timely submission to meet all required deadlines.
Start filling out your House Staff Leave Request Form online today to ensure your leave is processed smoothly.
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