S cmp application 2026

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The document is a Declaration Form for the Certification Maintenance Program (CMP) by the ASCP Board of Certification. It outlines the payment information, application fees, and requirements for revalidating certifications. Each certification requires a separate form, and specific fees apply for additional certifications or reinstatements. The form also includes sections for personal information, activity descriptions related to continuing education, and a pledge of authenticity that certifies the accuracy of the provided information. Submission guidelines emphasize mailing procedures and state that supporting documentation is only required if selected for an audit.

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Click ‘Get Form’ to open the s cmp application in the editor.
Begin by filling out the Payment Information section. Select your CMP Category and indicate the amount submitted for your application fees. Remember, each certification requires a separate Declaration Form.
Complete the Personal Information section thoroughly. Ensure you print plainly in black ink and provide all required details such as your birth date, customer ID, and contact information.
In the Activities Description List, document relevant activities related to your specialty. Include course titles, participation dates, and CMP points earned for each activity.
Finally, read and sign the Pledge of Authenticity. This confirms that all information provided is accurate and acknowledges potential audits.

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2014	4.9 Satisfied (291 Votes)

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