Application Form
	Full Disclosure Form
	Course Director/ICR Documentation of COI Form
	Conflict of Interest Identification and Resolution Disclosure Report
	CME Information Page
	Verbal Disclosure Form (to be used only when a CME Information Page cannot be created in advance of the activity)
	RSC ICR Form (to be used only when seeking permission to apply for commercial support)
	Monthly Poster Template
	Evaluation Form Template
	List of Presentations (to be submitted with report)
	CME Activity Application Deadlines – AY2012-2013
	RSS Data Report Form July 2012 - December 2012
	RSS Renewal Application for Academic Year 2012-2013

Commercial Support is not allowed for RSCs at WCMC. Please contact the CME Office if you wish to petition the Committee to grant an exception to this policy. All requests must be made at least 2 weeks prior to the date of the activity.