Closing-out your UTCOM certified CME Activity
Use the forms below to close-out CME activities that were certified by the UT College of Medicine Chattanooga (UTCOMC) and to request issuance of the CME credit certificates/transcripts (AMA PRA Category 1 Credit™).
CME Activity Closeout form - This form must be completed in order to close-out your CME activity (all meetings) and request issuance of the continuing education certificates.
CME Meeting Closeout form - to have the certificates issued for a single meeting in series - for CME activities with multiple meetings - This form must be completed in order to close-out a single meeting/session of a CME activity with multiple meetings, and to request issuance of the continuing education certificates for that meeting/session prior to the end of the activity (all meetings).
Resources for the Supporting Attachments
Required Attachment #1) Attendance Report - You must provide us with an attendance report for the activity in order for us to create the CME credit certificates. The attendance report needs to be an Excel spreadsheet and needs to include the first name, last name & number of hours attended for each learner seeking CME credit. If you want us to mail the CME credit certificates directly to the attendees, your attendance report also needs to include the address, city, state & zipcode for each learner. Use the templates below, or create & provide your own attendance report.
CME Attendance Report template for Single Session - This template provides a useful starting point for the attendance report that we need for a CME activity that only has one occurence.
CME Attendance Report template for Multi-Session Series - This template provides a useful starting point for the attendance report that we need for a CME activity that has more than one occurence (i.e., regularly-scheduled series or multi-conference series).
For additional information and resources on closing out your UTCOM-certified CME activity, contact the Office of CME at (423) 778-6884.
Record Keeping for your CME Activity
Each Office of CME (Chattanooga, Knoxville & Memphis) at the UTCOM keeps the files for its CME activities for at least six years.