Request For Confirmation Of Training For Residents

Requests for Confirmation of Training forms (CofT) should be used for cases of partial training confirmation. The completed form should be forwarded along with the PSCF (4026A) form (for termination) at least two (2) weeks prior to date required. Programs are requested to complete the following information in full and submit it to the Postgraduate Medical Education Office. Please note all Confirmation of Training forms are bilingual.

Name

(as it should appear on the CofT – middle name: initials only)

Email

Program

Period of Time Relevant to Request

Dates of Training

From

Date the CofT is Required

CofT will not be issued in a time period exceeding one month from termination date.

For Office Use Only

Date of Reception of Certificate Request

CofT issued and sent on