From Monday 16 January 2023 all new MTI applications and reports should be completed using the links below to our online system.

The first page of each form has additional guidance to help you complete it.



Please note that applications and reports that were started in PDF format before 16 January 2023 will still be accepted by the Academy.

If you require a PDF copy of application or report or are not sure if you should finish your application using the old PDFs, please email the MTI team.

NHS organisations and royal colleges who wish to apply to the Academy for a Temporary Work – Government Authorised Exchange Certificate of Sponsorship (CoS) for an MTI applicant should complete the MTI Application form. Each post must also be approved by the local deanery by using the separate Deanery approval form. If you are unsure of who can sign the Deanery approval form please check the list of MTI authorised Deanery signatories.

We recommend that you consult the MTI Explanatory notes below for more information on the additional documents we require to issue a CoS.

For NHS organisations who have doctors set to arrive in the UK and take up a post shortly, please remember to complete the MTI Starters report. This is to be filled out and sent to the Academy along with a verified copy of the doctor’s Biometric Residence Permit (BRP) and a PDF copy of their Right to Work profile within ten working days of the doctor’s first day of employment. Failure to return this form could result in the Academy withdrawing the doctor’s CoS. It will be assumed that the doctor did not travel to the UK.

It is the employer’s responsibility to inform the Academy of any exceptions to a doctor’s employment terms and conditions using the Exception report. This must be completed if any exceptions are to occur.

Further information on employer’s reporting obligations can be read in the NHS Employer responsibilities document below.