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  • Ca Caade Catc Certification Renewal Application 2019

Get Ca Caade Catc Certification Renewal Application 2019-2026

MM/DD/YYYY): Last 4 of SSN: Have you ever applied to the Addiction Counselor Certification Board of California (ACCBC) under another name? Yes No If yes, please state previous name used: Yes No If yes, name of certifying organization: Yes No If yes, name of certifying organization: Have you ever held registration or certification with any Alcohol and Other Drug (AOD) certifying organization? Have you ever had your AOD registration or certification suspended or.

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How to fill out the CA CAADE CATC Certification Renewal Application online

The CA CAADE CATC Certification Renewal Application is an essential document for individuals seeking to renew their certification as a Certified Addiction Treatment Counselor. This guide provides clear, step-by-step instructions to assist users in filling out the application efficiently and accurately online.

Follow the steps to complete your application successfully.

  1. Use the ‘Get Form’ button to obtain the CA CAADE CATC Certification Renewal Application. This action will allow you to access the form and begin the completion process.
  2. Start filling out your full name in the designated fields. Ensure that you include your first name, middle name, and last name clearly.
  3. Enter your certification number in the specified field, which is crucial for identifying your application.
  4. Provide your complete address, including city, state, and zip code. This information is necessary for official correspondence.
  5. Fill in your phone number and email address where you can be reached regarding your application.
  6. Input your date of birth in the format MM/DD/YYYY. This information helps confirm your identity.
  7. Enter the last four digits of your Social Security Number (SSN) as requested on the form, for identification purposes.
  8. Respond to questions regarding previous applications, certifications, and whether your CATC certification has expired, providing details where necessary.
  9. Read and confirm your understanding of the policies outlined in the CATC Handbook by checking the required acknowledgment box.
  10. Ensure you have signed and dated the application at the bottom of the form to validate your submission.
  11. Review the document checklist to confirm all required documentation is included. This includes supporting documents like your Code of Ethics, Scope of Practice, and CEU certificates.
  12. Finalize your submission by saving the changes, then you can download, print, or share the completed application as needed.

Complete your CA CAADE CATC Certification Renewal Application online today to ensure your certification remains active.

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