Activity Planners

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Forms and Guidelines

When planning CME activities, the forms linked through this page facilitate required documentation to comply with School of Medicine and national guidelines. The table below contains links that open forms most frequently requested by faculty and staff working on CME activities.

If you are unable to access these forms for any reason, please email our office or call us at 216-983-1239 and we will email, fax or mail the forms to you.

KEY	= MS Word   = MS Excel   = PDF

Live, On-Line and Self Study Activities
Apply for Sponsorship - Contact Amy Ross Friedman at 216-983-1230
Commercial Support Agreement
Disclosure of Commercial Relationships Form
Resolution of Conflict of Interest Form
Planning Committee Resolution of Conflict Form
Commercial Support Tracker Form
Accreditation Statement
Income Expense Projection
Evaluation Form
Sample Syllabus Introductory Pages
Honorarium Form
Honorarium Travel Expense Tracking Form
Supplementary Registration Form
Credit Claim Form
Online Evaluation & Credit Claim Information & Verbiage
Attendee Registration Template

Regularly Scheduled Series
Apply for Sponsorship - Contact Karen Hill 216-983-1228
Sponsorship Agreement Checklist
Session Cover Sheet
RSS Session Documentation Checklist
Disclosure of Commercial Relationships Form
Resolution of Conflict of Interest Form
Planning Committee Resolution of Conflict Form
Commercial Support Tracker Form
Session Evaluation Sample
Annual Participant Evaluation Sample
Annual Activity Director Evaluation Sample
Commercial Support Agreement
Accreditation Statement
Supplementary Registration Form
Attendee Registration Template