Home
Undergraduate Program
Postgraduate Program
Prospective Residents
Current Residents
Triple C Curriculum
Academic Teaching Schedule
Resident Handbook
Clinical Rotations
Resident Project
Credit Reporting
Requests for Leaves, Rotation Changes, and Transfers
Postgraduate Medical Education
Orientation for New Residents
Educational Resources
Travel Expense Forms
Family Medicine Residents of Westerm (FRMW)
Request for Leave Form
Resident Awards
PGY3 Programs
Resources for Faculty / Preceptors
Graduate Programs
Research
About the Department
Share |

Travel Expense Forms

Travel for rotations and Academic Half Days

  1. Please refer to Resident Handbook on website for complete details

  2. Following the completion of each block (blocks 1 -13), complete the form below for reimbursement.  Only forms with complete information will be processed.  Travel expense claims will be processed at the end of each block.  Cheques are issued by The University of Western Ontario and can take up to six weeks to process.  Please verify the address of where you would like the cheque sent.

 

Conference Reimbursement Expense Claims

  1. Residents receive $400 for each full year of residency (PGY1 - $400; PGY2 - $400; PGY# - $400).  Conferences will be reimbursed for conference registration only and not travel or accommodation.  Funds can be carried forward if not used during any of your years.  Please be sure to submit your original confirmation registration form showing that the conference has been paid in full.

  2. Conference expense claims can be made following the date of the conference only.  Western will not process any reimbursement until the conference date has passed.

  3. Following the date of the conference, and after receiving the original registration form, claims will be completed by this office and can take up to six weeks to process.

 

Last Name 
First Name 
Your Email Address: 
Your current mailing address 
Year of Residency 
Rotation or Academic Half Day 
Name of Rotation 
Type of Rotation 
Start Date of Rotation or AHD
End Date of Rotation or AHD
Location you travelled to 
Location you travelled from 
Additional Notes or Comments
(For multiple AHD claims during one
block, list all dates in this section)
Please enter the text in the image:  
 
Sitemap
The Birthplace of Family Medicine in Canada