COVID-19 Active Planning Hours Submission Form (BCCHW Medical Staff)

- Please note all Department and Division Heads (and physicians invoicing for PHSA work) should not use this form but submit their invoices directly to Karen McDowell at PHSA (karen.mcdowell@phsa.ca).

- Currently, this one-time funding allocation is only applicable to physician MSA members. We will continue to advocate for our midwifery and dentistry members to be represented in future allocations.

Please double check and ensure this number is correct, errors will result in payment issues.
Please enter the number of hours you spent on active COVID-19 planning initiatives. (20 hours max)
Please briefly describe how you were involved in active planning for COVID-19.
(You would have created a FEMS account to receive payments from Doctor's of BC/Facility Engagement)
(You would have created a VersaPay account to receive payments from Doctor's of BC/Facility Engagement)