Live Remote Proctoring (LRP) Accommodation Request Form
Applicants may request LRP accommodations for the following reasons: proximity to the testing location (>40 miles), testing site closures, medical conditions, undue burden, or as CMCI sees fit. Documentation to support the request must include evidence of claim. Evidence can include but is not limited to documentation showing the applicant's location in relation to the testing center, proof of travel restrictions, documentation of the test site closure, a letter from a healthcare professional, an explanation detailing specific circumstances that create an undue burden, or other supporting documentation. The documentation should be clear, and relevant, and provide sufficient information for CMCI to assess the validity of the accommodation request.
Date
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Certification Program
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CACM
CCM
Name
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First Name
Last Name
Email
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LRP Request Reason
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Proximity to Testing Location
Illness
Undue burden
Testing site closures
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Details of Request
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Please give us as much information you can regarding the reasoning behind the request
Supporting documentation
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V1.0: 11282023
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