Get Dopl Utah Form

Completing the Dopl Utah Form for licensure as a substance use disorder counselor is a crucial step in your professional journey. This guide will provide clear, step-by-step instructions to help you navigate the online application process with ease.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the Dopl Utah Form and open it in the editor.
2. Enter your full legal name as it appears on your driver’s license or Social Security card in the designated fields for last name, first name, and middle name. If applicable, include your maiden name.
3. Provide your Social Security number in the required field, understanding its importance as a unique identifier for your application.
4. Complete your mailing address, including city, state, and ZIP code to ensure all correspondence from DOPL is directed to the correct location.
5. Fill in your date of birth, phone number, and email address in the corresponding sections.
6. Indicate your gender by selecting the appropriate checkbox, ensuring inclusivity in your response.
7. List any other licenses, registrations, or certifications that you hold or have held in the profession, using additional sheets if necessary.
8. Sign the affidavit and release authorization section, certifying that the information provided is truthful and complete.
9. Provide details of your education, including names, dates attended, degree received, and location for each institution.
10. Address the examination requirement by answering 'yes' or 'no' for the relevant national certification exams you have taken.
11. Complete the substance use disorder counselor qualifying questionnaire by answering each question 'yes' or 'no' and ensuring no questions are left blank.
12. If applicable, include the verification of supervised experience from each of your supervisors, detailing the required supervised experience hours.
13. Prepare your payment for the non-refundable application-processing fee of $85 by including a check made payable to 'DOPL'.
14. After completing the form and gathering all necessary documents, save your changes. You can then download, print, or share the completed form as required.

Complete your Dopl Utah Form online today to take the next step in your counseling career.