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The Case Management Society of Australia and New Zealand and Affiliates (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.
COPYRIGHT © 2017 Case Management Society of Australia and New Zealand and Affiliates (CMSA)
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The Case Management Society of Australia and New Zealand and Affiliates
(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.
Attachment 7 - Application Checklist for Pathways 1-4
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APPLICATION CHECKLIST
FOR PATHWAYS 1 TO 4
PATHWAY ONE (1) – CERTIFIED PRACTISING CASE MANAGER™
Please use the list below to check that you have all the required documentation (& in the correct format) to attach to your online Certified Case Manager (CCM)
application via Pathway One (1).
Document Name
File Type
Certified copy required?
PATHWAY TWO (2) – CERTIFIED PRACTISING CASE MANAGER™
Please use the list below to check that you have all the required documentation (& in the correct format) to attach to your online Certified
Case Manager (CCM) application via Pathway Two (2).
Document Name
File Type
Certified copy required?
Competency Training
No
PATHWAY THREE (3) – CERTIFIED PRACTISING CASE MANAGER™
Please use the list below to check that you have all the required documentation (& in the correct format) to attach to your online Certified
Case Manager (CCM) application via Pathway Three (3).
Document Name
File Type
Certified copy required?
(National Certification) Competency Training
No
Professional Training and Development (PTD) Form A
PDF (scanned copy)
Yes
Professional Training and Development (PTD) Form B
PDF (scanned copy)
Yes
PATHWAY FOUR (4) – CERTIFIED CASE MANAGER (NON PRACTISING)™
Please use the list below to check that you have all the required documentation (& in the correct format) to attach to your online Certified
Case Manager (CCM) application via Pathway Four (4).
Document Name
File Type
Certified copy required?
Curriculum Vitae (CV)
Microsoft Word or PDF
No
Employment Verification Form (or Statutory Declaration if self employed)
PDF (scanned copy)
Yes
Referee Form 1
PDF (scanned copy)
Yes
Referee Form 2
PDF (scanned copy)
Yes
Certificate of Attainment: CMCT01 Case Management
(National Certification) Competency Training
No
Professional Training and Development (PTD) Form A
PDF (scanned copy)
Yes
Professional Training and Development (PTD) Form B
PDF (scanned copy)
Yes
VISIT THE WEBPAGE ~
APPLICATION CHECKLIST FOR PATHWAYS 1 – 4
Website
:
www.cmsa.org.auNavigation menu
: Certification
Drop down menu:
Application Checklist for
Pathways 1 – 4
Note
:
All CCM / Statutory Declaration
forms are available for
download from this web page
COMPLETING THE CERTIFIED CASE MANAGER (CCM) FORMS
1.All information must be typed into each CCM form (not
handwritten).
2. Each CCM form must be printed off and signed by the individual
completing the form.
3.
4. Each CCM form must be scanned into a PDF file.
STEPS TO OBTAINING A CERTIFIED COPY
1. Make a photocopy of the original CCM form
or document. Note: this is the copy that is
to be certified as “a copy of the original
document” by a JP.
2. Provide the JP with the original CCM form
or document along with a photocopy of the
original CCM form or document.
3.Ask the JP to certify the photocopy “as a copy
of the original document”
Each CCM form must be certified by a Justice of the Peace. For
further information please refer to the Certification Application
Guidelines.
Academic
qualification (photocopy)
PDF (scanned copy)
Yes
Curriculum Vitae (CV)
Microsoft Word or PDF
No
Employment Verification Form (or Statutory Declaration if self employed)
PDF (scanned copy)
Yes
Referee Form 1
PDF (scanned copy)
Yes
Referee Form 2
PDF (scanned copy)
Yes
Certificate of Attainment: CMCT01 Case Management (National Certification)
Academic
qualification (photocopy) *as applicable*
PDF (scanned copy)
Yes
Curriculum Vitae (CV)
Microsoft Word or PDF
No
Employment Verification Form (or Statutory Declaration if self employed)
PDF (scanned copy)
Yes
Referee Form 1
PDF (scanned copy)
Yes
Referee Form 2
PDF (scanned copy)
Yes
Certificate of Attainment: CMCT01 Case Management
Academic
qualification
or Certificate
(photocopy)
PDF (scanned copy)
Yes
Curriculum Vitae (CV)
Microsoft Word or PDF
No
Employment Verification Form (or Statutory Declaration if self employed)
PDF (scanned copy)
Yes
Referee Form 1
PDF (scanned copy)
Yes
Referee Form 2
PDF (scanned copy)
Yes