NLMA Forms
Direct Deposit Form

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Instructions Use this form to start, change, or cancel direct deposit. This form is meant to be submitted electronically, remember to click the 'Submit' button below; do not print this page and submit via alternate means.



New Change Cancel


(Individual or organization)

Unique Identifier
(NLMA number, vendor account number)

E-mail Address*
(For deposit notification)

(This will update any existing e-mail address on file.)


Cheque Guide
(See bottom left of cheque)
Branch Number*
(5 digits)

Institution Number*
(3 digits)

Account Number*

Account Number*

(For improved accuracy, re-enter your account number referring back to your cheque)




Payment Method
Direct deposit is the only method for most payments; alternate methods (i.e., cheque), if available, will delay payment.
Notification Salary/honoraria paystubs are delivered by e-mail in PDF format (password-protected) in advance of deposit; expense reimbursement/bill payment notifications are e-mailed on date of deposit.

Assistance For assistance, please contact J. David Mitchell, Director, Administration & Membership at (709) 726-7424 (301), (800) 563-2003 (301) or

Newfoundland and Labrador Medical Association
NLMA House, 164 MacDonald Dr., St. John's, NL, Canada, A1A 4B3
Telephone (709) 726-7424 | Toll Free (800) 563-2003 | Fax (709) 726-7525
E-mail | Web