Continuous Professional Development (CPD) for Board-Certified Pharmacists Name * First Name Last Name Email * In which of the following roles did you serve during the past calendar year? * CPD credit is available for a calendar year only (Jan - Dec). You must have served in the roles below during the calendar year for which you are requesting CPD credit. President President-Elect Immediate Past President Secretary/Treasurer Advocacy Committee Communications Committee Membership Committee Nominations Committee Planning Committee Steering Committee Trainee Taskforce Other Service Please provide sufficient detail describing your role(s); 10 hours of service are required for each requested CPD credit. * How many CPD credits are you requesting? * You may request verification for up to 2 CPD credits from professional organization involvement per calendar year. 1 CPD credit 2 CPD credits I have confirmed I am an active OCCP member * Active OCCP membership (up to date with dues payment) is required for CPD credit verification. Please confirm and renew your membership if not currently active. Yes No Thank you for submitting your request for CPD verification. Your request will be reviewed and a response sent within 30 days. Please note: OCCP reserves the right to deny approval of any CPD credit if we are unable to verify the involvement as submitted. Verification will be provided in the form of a letter from OCCP.Please add our email to your safe sender list (occpweb@outlook.com). If you have any questions, please contact us.