© Certification Application Guidelines

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Attachment 3 - Professional Training and Development (PTD) Form B - Page 2 of 2

Declaration:

I solemnly and sincerely declare that the information I have provided is true and correct to the best of my knowledge and belief. I acknowledge that I must have accumulated a minimum of 72 hours of PTD activities as a pre-requisite to be eligible to apply for recognition as a Certified Case Manager™ pursuant to my nominated vocational pathway.

Signature:

Date:

The Case Management Society of Australia (CMSA) Certification sets the benchmark of excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™ (CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for their advanced education, experience, knowledge, and skills by their colleagues, consumers and employers.