Follow the steps to complete the application online:

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editor.
2. Fill out the general information section with your personal details, ensuring to circle the appropriate title (Dr., Ms., Mr., Mrs.). Include your name, certification number, address, and contact information.
3. Complete the current employer section with your employer’s name, department, address, and your contact information at work.
4. List areas of interest in outcomes-case management that pertain to your professional focus.
5. Answer the required questions regarding your professional history honestly, marking 'Yes' or 'No' as applicable.
6. Complete the further education section by listing any relevant education received within the last two years, including your college or university name, degree, major, license number, and the year received.
7. Detail your general professional experience by providing information about your current position, including your employer, position title, job description, and dates of employment.
8. Outline any outcomes-case management education completed in the last two years, providing program names, providers, durations, completion dates, and descriptions.
9. Sign and date the application form to confirm the accuracy of the information provided.
10. Review the checklist to ensure you have signed the application, included fees, and attached any supporting documentation.
11. Once all fields are complete and reviewed, save your changes, download, print, or share the form as needed.

Complete your CA AIOCM Re-Certification Application online now to maintain your professional certification.