Do not return this certificate to PCMA.

This certificate is for your own reporting purposes and serves as proof of attendance.

To be completed by attendee:

By signing below, I certify that I attended the session(s)/event(s) outlined above and am entitled to claim these clock hours.

Signature: ________________________________________

Printed Name: _____________________________________

Date: ________________

We are working diligently to ensure all live attendance records are reflected on your transcript in a timely manner. If you believe there are CE records from live or on-demand content that are not reflected on your transcript, please complete this form and a member of our team will contact you soon. We appreciate your patience.

Thank you,

PCMA Education

Sun	Mon	Tue	Wed	Thu	Fri	Sat

Start Date:

End Date:

Official Transcript for

Total Clock Hours:

To be completed by attendee: