Get Dui Assessor Certification Application - Kentucky Department For ... - Dbhdid Ky

Filling out the DUI Assessor Certification Application is a critical step for individuals seeking certification to conduct assessments for driving under the influence cases in Kentucky. This guide provides clear, step-by-step instructions to assist users in accurately completing the application online.

Follow the steps to successfully complete the online application form.

1. Press the ‘Get Form’ button to access the DUI Assessor Certification Application form and open it in your preferred document editor.
2. Begin by filling out Part I, which includes your personal information. Input your full name, social security number, mailing address, telephone number, and email address where you can be reached.
3. Move on to Part II, and provide details about your agency or program. Enter the name of the agency or program you are affiliated with, the name of the program administrator, the agency's address, and the program's telephone number.
4. In Part III, specify your assessor credentials. Indicate the category you are applying under and ensure you include all required documentation to support your eligibility for certification.
5. Next, outline your relevant work experience in Part IV. List your current or most recent positions, including dates of employment, job titles, employer names, supervisors, addresses, telephone numbers, and a description of your duties. Copy the page to provide additional experiences if necessary.
6. Complete Part V, the DUI Assessor Applicant Statement. This section requires your certification of understanding the application information is accurate and your commitment to compliance with the related regulations. Provide your signature and the date.
7. Finally, ensure you attach all supplementary documents such as official transcripts, copies of licenses, the training fee, and anything else required. Review the completed application to confirm that all fields are filled out accurately before submitting.

Submit your completed application online to begin the certification process.