NERC CEH Approved Training Activity Submission

Note: Approved Training submitted through this form may be used toward meeting the PJM Training Requirements.

This form will NOT need to be completed for PJM delivered training

Name of PJM Designated Training Liaison:	Date

Name of Member Company:

NERC Approved CE Activity (Course) Information:
NERC CE Provider:	Activity ILA ID:
Activity Title:
Activity Description:
Activity Hours:	CE Hours: EOP: Simulation: Standards:	Activity relates to the following NERC Standards: (Indicate # of hours)	CIP-004 COM-002 EOP-004 EOP-005 EOP-008 IRO-001 PER-005

Task Association
Please indicate the Task(s) that relates to this Learning Activity:
Generation G01 - Forward-looking Data Submittal & Verification G02 - Resource Reporting & Testing G03 - Respond to Unit Problems & Monitor Parameters GCS3A - Respond to Unit Problem Notification GCS3B - Requirements for Bringing Unit On/Off G04 - PJM Operational Information G05 - Capacity Emergencies G06 - Voltage Emergencies G07 - Conservative Operations G08 - BUCC GCS8 - Loss of Functionality Procedures G09 - Restoration Condition GCS9 - Restoration Requirements G11 - Equipment Outages G12 - Data Exchange GCS12 - Data Accuracy in EMS G13 - Telecommunications G14 - Communication Exchange	Transmission T01 - Weather & Load T02 - BES Equipment Problems TCS2 - BES Equip Problem Notification T03 - Reactive Resources T05 - Monitoring Facilities TCS5A - Security Analysis TCS5B - Load Shed T06 - Operational Information T07 - Capacity Emergencies T08 - Voltage Emergencies T09 - Conservative Operations T10 - BUCC TCS10 - Loss of Functionality Procedures T11 - System Restoration T11.1 - EOP-005-3 T8.1 System Rest Plan T11.2 - EOP-005-3 T8.2 Rest priorities T11.3 - EOP-005-3 T8.3 Cranking paths T11.4 - EOP-005-3 T8.4 Synchronizing T11.5 - EOP-005-3 T8.5 Transition of DR TCS11 - Restoration Guide T12 - Equipment Outages TCS12A - Modeling Outages TCS12B - SCADA T13 - Data Exchange TCS13 - Data Accuracy in EMS T14 - Telecommunication T15 - Communication Exchange

Participant Information
Learner’s Name	NERC Certification Number (if applicable)	Date of Training	Total NERC CE Hours Awarded	EOP	Simulation	Standards

Sponsorship Affidavit
The submitting PJM Training Liaison, on behalf of the sponsor(s), agrees to: Ensure that all training activities approved for NERC CE Hours are delivered and adhere to the NERC CE Program requirements. Hour categories for Emergency Operations Preparedness, Simulation and Standards should be listed as documented with NERC. Maintain accurate records of all participants’ attendance and submit via this form to the PJM office following the completion of the training activity. For activities where partial credit is allowed, the sponsor will record those parts of the learning activity that the participants completed. Ensure that the training activity is delivered according to the PJM Member Systematic Approach to Training, that attendance is monitored and accurately recorded, and that the evaluation is performed and the results are accurately recorded and retained. Maintain relevant course documentation for three years. Uphold the standards for high quality continuing education activities.
I agree:	Training Liaison Name: