Request Certificates of Completion in Continuing Professional Development for your Program

In an effort to improve our customer service we have developed the following form to facilitate Certificate Requests.

Please review the form before starting. If you close your browser you may lose any work.

"*" indicates required fields

Administrator Contact Details

Name*

First

Last

Email*

Phone*

UofT Department

Other

Department not listed or Institution - Hospital - Society

Program / Conference Information

Program or Conference Name*

Session / Cohort*

Program Date*

MM slash DD slash YYYY

Program Code

Program Description

Program Director Name

First

Last

Program Director Title

Certificate Template

Drawing showing the regions of a CPD Certificate of Completion

Content Regions

Photograph showing CPD Certificate next to Apple MacBook keyboard

Sample

Files & Attachments

Logo(s)

Drop files here or

Accepted file types: jpg, gif, png, zip, Max. file size: 20 MB.

Electronic Signature(s)

Drop files here or

Accepted file types: jpg, gif, png, zip, Max. file size: 20 MB.

Attendee List

Accepted file types: csv, txt, xls, xlsx, Max. file size: 20 MB.

List should be in Excel or Comma Separated (CSV) with the First and Last names of the participants.

Delivery Details

Delivery*

Courier

Pickup

Address*

Street Address

Address Line 2

City

Province

Postal Code

Delivery*

February 28

April 30

June 30

August 31

October 31

December 15

Urgent

Pricing

Standard: $50 per certificate
Urgent: $75 per certificate
(requests will be completed within two weeks, if at all possible)

Certificates will be issued on a bi-monthly basis. Please ensure to place your certificate order based on the following timelines.

Our Standard Delivery Periods
Request by	Delivery Date
January 1	February 28
March 1	April 30
May 1	June 30
July 1	August 31
September 1	October 31
November 1	December 15

Payment

Billing Address*

Same as Delivery

Different Address

Different Billing Address

Street Address

Address Line 2

City

Province

Postal Code

Payment Method*

UofT Internal Departmental Transfer

Credit Card (VISA, MC, AMEX)

Cheque / EFT / Wire Transfer

At the moment online payment is not available. Our staff will contact you to follow-up on payment using your selected method.

Internal Transfer Details

I authorize Post MD Education to debit the below FIS accounts:

Business Officer Email*

General Ledger*

Please enter a number from 0 to 999999.

Cost Centre / Internal Order*

Please enter a number from 0 to 999999.

Fund Centre

Please enter a number from 0 to 999999.

Fund

Please enter a number from 0 to 999999.

(Optional)

Estimate Pricing

A final invoice will be sent after we have reviewed your order request.

Quantity*

Please enter a number from 1 to 9999.

Order Estimate Total