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Fellow Members (FCMSA) of the Case Management Society of Australia & New Zealand (CMSA) adhere to the
CMSA National Standards & National Code of Ethics for Case Management in all their day-to-day professional
interactions with colleagues, the community, clients & /or representatives, key stakeholders & employer thus
contributing to the veracity, integrity & fidelity of the profession of case management.
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Supporting evidence of the PTD
activity:
Please state the evidence that you
can provide, if requested by the
CMSA, of this PTD activity
Total time of PTD activity:
In hours and/or minutes.
Comments (optional):
Please add any additional
information or comments in relation
to this PTD activity that you
consider relevant for the attention
of the CMSA.
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 may be required upon request by the CMSA
to provide supporting evidence of the PTD activity claimed within this
form.
I have read the CMSA Fellow Application Guidelines and
checked that this PTD activity is a recognised and approved PTD
activity by the CMSA as recorded within the said Guidelines.
Signature:
_________________________________________
Date:
Attachment 3 - Professional Training and Development (PTD) Form B - Page 2 of 2