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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.
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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)
Attachment 7 - Application Checklist for Pathways 1-4
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?
Academic qualification (photocopy)
PDF (scanned copy)
Yes
Curriculum Vitae (CV)
Microsoft Word or PDF
No
Employment Verification Form (or UAE Statutory Declaration if self employed)
PDF (scanned copy)
Yes
Referee Form 1
PDF (scanned copy)
Yes
Referee Form 2
PDF (scanned copy)
Yes
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?
Academic qualification (photocopy)
PDF (scanned copy)
Yes
Curriculum Vitae (CV)
Microsoft Word or PDF
No
Employment Verification Form (or UAE 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
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?
Academic qualification (photocopy) *as applicable*
PDF (scanned copy)
Yes
Curriculum Vitae (CV)
Microsoft Word or PDF
No
Employment Verification Form (or UAE 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
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 UAE 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
COMPLETINGTHE 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.Each CCM form must be certified by a supervisor/manager
or proxy.For further information about ‘Certified Copies of
Original Documents’ please refer to the CertificationApplication
Guidelines.
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 supervisor/
manager or proxy.
2.Provide the supervisor/manager or proxy with
the original CCM form or document along with a
photocopy of the original CCM form or document.
3.Ask the supervisor/manager or proxy to certify the
photocopy“as a copy of the original document”.