Applications and Forms

Click on one of the links to the left to find the applications and forms you need.

All of the forms needed for the certifications administered or overseen by the Certification Board are located on the left. Presently there are 13 Initial Applications for those of you seeking a Certification for the first time. There are 11 Recertification Applications, with 3 more being developed. There is 1 Ethical Complaint form, as well as 1 Request for Records Verification Form. In the Testing Forms section there are 3 forms along with a calendar of Testing Dates. There a 7 Education Manuals and 4 Miscellaneous Forms, all of which should help you in your certification process.

Reciprocity: Anyone applying for Reciprocity, will now need to contact the Certification Board for an application. Click to Email us. You MUST include your Name and Address. It will be mailed to you as soon as possible.

Important information regarding the LCADC/CADC.

The LCADC and CADC are under the authority of the Division of Consumer Affairs, Department of Law and Public Safety.

Refer to the DCA's website: Alcohol and Drug Counselor Committee

All complaints, comments and questions regarding the LCADC/CADC should go to the DCA, not the Certification Board.

Cut-off dates for submission of Initial Applications
Initial Applications for certification need to be reviewed and the Board needs time to perform its due-diligence duty, therefore we have established cut-off dates for submission of Initial Applications, and those dates are as follows:

• February 1 – for the March Board Meeting
• May 1 – for the June Board Meeting
• August 1 – for the September Board Meeting
• November 1 – for the December Board Meeting

Fees:
We have increased our fees to cover increases in expenses and decreases in state aid. Our new fee schedule is:

1. Initial Application: $225
2. Recertification Application: $225
3. Application Late Fee:$ 15 per month

We are working to update our forms, but applications will only be accepted with the above fees included as directed.

Important notice regarding receipt of information: the Certification Board requires a “Return Receipt” (the green post card from the Post Office) to be used by the applicant to verify receipt of all information. The Board will NOT respond to phone or email inquiries regarding receipt of documents, because the card will have a signature and the date the documents were received by the Certification Board.

All documents are available in the Adobe Acrobat™ PDF format.

You will need the LATEST version of the free Adobe Acrobat Reader program installed on your computer.