Reminders!!

• Important ECFMG Announcement! (pdf)
• Next Coordinators' meeting - November 13, 2007; 2-3:30pm, Fesler Hall, Hurty Hall C 
• It is recommended that Program Coordinators apply to become a Notary Public of Indiana.  
• Out-of-State Electives:
  --Must have approval from the Associate Dean and Director of Graduate Medical Education, 6 weeks prior to start of elective.
  --Indiana University Professional Liability Insurance will not cover out-of-state electives. Proof of malpractice coverage where the elective will take place must be provided.
  --Submit proof of malpractice coverage to the Office of Graduate Medical Education - Fesler Hall 224.

Frequently Requested Forms
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Initial Training

• Acknowledgement of Receipt of Conditions and Requirements for Appointment
• Appointment Letter
• Appointment Letter Request Form (Residents & Fellows)
• Background Check Information and Forms
  *Copy of resident/fellow CV requested with forms
• Cigna Beneficiary Form
• Clarian Health-Responsibility Statement Form
• Comparison of H1B and J1 Visa Issues
• Direct Bank Deposit Form
  *Note: The Payroll Department prefers that direct deposit information be changed electronically via OneStart.  To log into OneStart, click here.  Direct deposit changes can be made in the "Employee Self-Service" menu on the right.
• Extern Appointment Form and Policy
• Health Services Form
• Health Services Authorization to Medical Release Information Form
• House Staff Information Form
• I-9 Form (with instructions)
• I-9 Instructions (F1, J1, H1-B visa status)
• International Tax Questionnaire (International Medical Grads)
• IU School of Medicine ID-Verification & Authorization Form
• Motor Vehicle Records Check Form
• Paging Equipment Agreement
• Patent Agreement Form
• Protocol for J-1 Visas
• Request for IUSM Graduate Student Records
• Request for New Program
• Requirements of Personnel File Forms
• Statement of Principles-Honor Code
• Temporary and Visiting House Staff Assignment Form
• TB Respirator Questionnaire
• W-4 Tax Form (Federal)
• WH-4 Tax Form (State)
• W-4 Federal Tax Form for Non-Resident Aliens

Additional Forms

On-line Forms
(Submit the following Request On-line)