2021 Recertification Professional Development Report

American Board of Criminalistics Recertification Professional Development Report
NOTE:

Refer to the Recertification Point Structure (09-0608S) for further explanation of requirements and a listing of acceptable documentation.

Refer to the Recertification Professional Development Reporting Form Instructions (09-0609S) prior to completing this form.

You will be asked to upload supporting documentation for each activity that you are claiming points. Please use a file naming structure to associate easily the supporting documentation to its corresponding activity.

Use the file name: Document type_Last Name_First Name_Certificant Number

For example, AAFS membership card_Smith_John_9999
Please confirm that you reviewed the point structure and the instructions documents linked above prior to completing your form.*
First Name*
Last Name*
Certificant Number:*
E-mail*
example@example.com
Please check off all of the certifications that you hold*

Biochemistry (ABC-BC)Biological Evidence Screening (ABC-BIO)Comprehensive Criminalistics (ABC-CC)Drug Analysis (ABC-DA)Drug Analysis Technical Specialist (ABC-DAT)Forensic DNA (ABC-DNA)Fire Debris (ABC-FD)Foundational Knowledge (ABC-FKE)General Criminalistics (ABC-GKE)Hair and Fiber (ABC-HF)Molecular Biology (ABC-MB)Molecular Biology Technical Specialist (ABC-MBT)Paint and Polymer (ABC-PP)
Please select the first specialty you will be claiming points for on this submission. This will be SPECIALTY 1. You can only claim two specialties for each form submission.
Please select the second specialty you will be claiming points for on this submission. This will be SPECIALTY 2. You can only claim two specialties for each form submission.
Please check each activity for which you are claiming points. Please refer to the Points Chart (09-0608S) for further guidance if necessary.*

1. Forensic Work2. Forensic Teaching3. Forensic Organization Membership4. Elected Officer/Committee Chair in Forensic Organization5. Committee Member6. Participation in SWG, TWG, OSAC, state or national forensic science commission7. Elected Officer/Committee Chair/Sub-Committee Chair in SWG, TWG, OSAC, state or national forensic science commission8. External Audit, External Inspection, External Assessment Activity9. Internal Audit of Technical Specialty10. Workshop, Seminar, Registered Meeting Attendance11. Successful Completion of Relevant College Course12. Panel Discussion/Plenary Discussion13a. Author or Co-author of a Technical Paper/Poster Presentation at a Scientific Meeting13b. Non-author Presenter of a Technical Paper/Poster Presentation at a Scientific Meeting14a. Technical Paper Publication in a Peer Reviewed Article14b. Technical Paper Publication Non-peer Reviewed Article14c. Technical Paper Publication Technical Review of Paper or Thesis15. Book Chapter Authorship16. Book Editing17. Technical Training Presentation18. Conducting Workshop in Forensic Skill Area19. Training of Examiner20. Primary Instructor of Forensic ScienceUnlisted Professional Activities
1. Forensic Work

2 pts/year
Points Claimed (Section I)*
Are you self-employed or not otherwise employed by an agency but are claiming recertification points for employment? If so, you must submit an Employment Verification Form (09-610F) or equivalent.*

YesNo
Place of Employment:*
Name of Supervisor or Co-worker:*
E-mail of Supervisor or Co-worker:*
example@example.com
If you are self-employed or are not otherwise employed by an agency but are claiming recertification points for employment, you must submit an Employment Verification Form (09-610F) or equivalent.*

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2. Forensic Teaching

2 pts/year
Points Claimed (Section I)*
Place of Employment:*
Are you self-employed or not otherwise employed by an agency but are claiming recertification points for employment? If so, you must submit an Employment Verification Form (09-610F) or equivalent.*

YesNo
Name of Supervisor or Co-worker:*
E-mail of Supervisor or Co-worker:*
example@example.com
If you are self-employed or are not otherwise employed by an institution but are claiming recertification points for employment, you must submit an Employment Verification Form (09-610F) or equivalent.
3. Forensic Organization Membership

1 pt/year/org with a Max of 10/year
Points Claimed (Section I)*
List organizations (you may use acronyms to conserve space):*

0/190
Upload supporting documentation of Forensic Organization Membership. Documentation MUST be from the year in which you are claiming points. *

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4. Elected Officer / Committee Chair in Forensic Organization

2 pts/year/org with a Max of 10/year
Points Claimed (Section I)*
List organizations and positions:*

0/95
Upload supporting documentation of Elected Officer / Committee Chair in Forensic Organization*

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5. Committee Member (includes ABC Standing Committees and CEMGs)

1 pt/year/org with a Max of 10/year
Points Claimed (Section I)*
List organizations and positions:*

0/190
Upload supporting documentation of Committee Member *

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6. Participation in SWG, TWG, OSAC, state or national forensic science commission

(3/year/org with a Max of 6/year)

List organization(s) and position(s):*

0/190
Upload supporting documentation of SWG, TWG, OSAC, state or national forensic science commission.*

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7. Elected Officer/Committee Chair/Sub-Committee Chair in SWG, TWG, OSAC, state or national forensic science commission

(2/year/org with a Max of 10/year)

List organization(s) and position(s):*

0/190
Upload supporting documentation of Elected Officer/Committee Chair/Sub-Committee Chair in SWG, TWG, OSAC, state or national forensic science commission.*

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8. External Audit, External Inspection, External Assessment Activity

(2 pts/day with a Max of 20/year)

Upload supporting documentation of External Audit, External Inspection, and External Assessment Activity.*

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9. Internal Audit of Technical Specialty

(1 pt/day with a Max of 10/year)

Upload supporting documentation of Internal Audit of Technical Specialty.*

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10. Workshop, Seminar, Registered Meeting Attendance

(3 pts/day with no Max)

Upload supporting documentation of Workshop, Seminar, or Registered Meeting Attendance*

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11. Successful Completion of Relevant College Course

(5 pts/ credit hour with a Max of 15)

List name of course, location, and credit hours:*

0/190
Upload supporting documentation of Successful Completion of Relevant College Course*

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12. Panel Discussion/Plenary Discussion

(2 pts/ discussion with a Max of 10)

List topic/title, date(s) given, and forum of presentation*

0/500
Upload supporting documentation of Panel Discussion/Plenary Discussion*

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13. Technical Paper/Poster Presentation at a Scientific Meeting
a. Author or Co-author

(5 pts/ presentation with a Max of 20)

List title, date(s) given, and forum of presentation*

0/300
b. Non-author Presenter

(2 pts/ presentation with a Max of 10)

List title, date(s) given, and forum of presentation*

0/300
Upload supporting documentation of Technical Paper/Poster Presentation at a Scientific Meeting*

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14. Technical Paper Publication
a. Peer Reviewed Article

(15 pts/ paper with no Max)

List publication title and complete reference:*

0/300
b. Non-peer Reviewed Article

(3 pts/ paper with no Max)

List publication title and complete reference:*

0/300
c. Technical Review of Paper or Thesis

(5 pts/ paper with no Max)

List title and complete reference:*

0/300
Upload supporting documentation of Technical Paper Publication*

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15. Book Chapter Authorship

(20 pts/chapter with a Max of 40/year)

List title and complete reference:*

0/300
Upload supporting documentation of Book Chapter Authorship*

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16. Book Editing

(20 pts/chapter with a Max of 40/year)

List title and complete reference:*

0/300
Upload supporting documentation of Book Editing*

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17. Technical Training Presentation

(1 pt/presentation with a Max of 5/year)

List topic/title, date(s), and forum of presentation:*

0/500
Upload supporting documentation of Technical Training Presentation*

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18. Conducting Workshop/Seminar

(5 pts/full day with a Max of 15/year)

Upload supporting documentation of Conducting Workshop/Seminar in Forensic Skill Area*

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19. Training of Examiner

(5 pts/40 hours with a Max of 15/year)

List trainee, discipline, and contact hours:*

0/300
Upload supporting documentation of Training of Examiner*

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20. Primary Instructor of Forensic Science

(5 pts/credit Hour with a Max of 15/year)

List name of course, location, and credit hours:*

0/300
Upload supporting documentation of Primary Instructor of Forensic Science Related Course*

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Unlisted Professional Activities
If you have activities to report that do not fit into the above-listed categories that you feel should be considered for recertification, please note them here for consideration.*

0/735
Upload supporting documentation of Unlisted Professional Activities

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Additional Comments/Notes:

0/735
Points for Section I
Points for Section II
Points Claimed Speciatlty 1
Points Claimed Specialty 2
Total Points Claimed
Once, during a 5-year certification cycle, a certificant may use 2 employment points towards Specialty Area Activity Points, instead of Section I. Please indicate below if you would like to have your points allocated towards your specialty.
Please count 2 employment points towards my specialty
Specialty Area
Declaration
The information listed on this Recertification Professional Development Report (09-0601F) is accurate and reflects the professional development activities in which I have participated. If I have not provided adequate supporting documentation as defined in the Recertification Points Structure document (09-0608S), I understand that points may be deducted. I understand that ABC, or its representative(s), will verify some or all of the information contained on this form. I agree to authorize the release of this information for recertification purposes.
Signature*
Date*

MonthDayYear
Date
How will you be paying your Annual Maintenance Fees?*

Online via PayPalCheckAgency Purchase Order
Please follow the Online Payments link to pay your maintenance fees. Clicking the link will open a new tab in your browser. You can pay before or after you submit your Professional Development Reporting form.
Checks can be mailed to:

ABC Registrar

P.O. Box 1358

Palmetto, FL 34220
Agency Purchase Orders can be e-mailed to abcregistrar@criminalistics.com

or mailed to:

ABC Registrar

P.O. Box 1358

Palmetto, FL 34220
Please provide a brief description of the edits you made to your submission.*
Should be Empty:

	Title and Host	Dates Attended	Hours	Points	Section
Activity
Activity
Activity
Activity
Activity
Activity
Activity
Activity
Activity
Activity
Activity
Activity

American Board of Criminalistics Recertification Professional Development Report

1. Forensic Work

2. Forensic Teaching

3. Forensic Organization Membership

4. Elected Officer / Committee Chair in Forensic Organization

5. Committee Member (includes ABC Standing Committees and CEMGs)

6. Participation in SWG, TWG, OSAC, state or national forensic science commission

7. Elected Officer/Committee Chair/Sub-Committee Chair in SWG, TWG, OSAC, state or national forensic science commission

8. External Audit, External Inspection, External Assessment Activity

9. Internal Audit of Technical Specialty

10. Workshop, Seminar, Registered Meeting Attendance

11. Successful Completion of Relevant College Course

12. Panel Discussion/Plenary Discussion

13. Technical Paper/Poster Presentation at a Scientific Meeting

a. Author or Co-author

b. Non-author Presenter

14. Technical Paper Publication

a. Peer Reviewed Article

b. Non-peer Reviewed Article

c. Technical Review of Paper or Thesis

15. Book Chapter Authorship

16. Book Editing

17. Technical Training Presentation

18. Conducting Workshop/Seminar

19. Training of Examiner

20. Primary Instructor of Forensic Science

Unlisted Professional Activities

Declaration