Forms (for applications or renewals)

Sample forms and templates to support your application can be found below. These documents should be uploaded to your application in eCME as an attachment.

Verb List
Flyer / Brochure
Brochure Guidelines (for reference)
Evaluation Instrument
Disclosure Form (Updated 07/2018)
Conflict of Interest (COI) Resolution Letter (template)
Commercial Support Letter (template)
Joint Provider Letter (template)

Need help with the budget?
The sample budget form can be used as a guide to help you determine costs that should be reported for a CME activity. Please be sure to consult with the CME Coordinator about the budget for your activity before you submit the proposal.
Note: The sample budget should just be used as a guide to determining your budget. The formal budget should be entered into eCME under the “Budget Details” tab. Please do not upload the sample budget to eCME.