Get Ny Pds-11 2021-2025

The NY PDS-11 form is essential for the application process to become a Credentialed Alcoholism and Substance Abuse Counselor (CASAC) in New York State. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete the NY PDS-11 online.

1. Press the ‘Get Form’ button to access the NY PDS-11 application form and open it in your preferred editing tool.
2. Begin filling in your personal details in the designated fields, which may include your name, contact information, and social security number. Ensure accuracy to avoid processing delays.
3. Complete the Application Summary Form located in Part A, ensuring that all relevant information is filled out clearly and correctly.
4. Review and initial the Canon of Ethical Principles and Misconduct pages to confirm your understanding and agreement with the ethical standards required for CASAC applicants.
5. Provide your educational information by attaching proof of your highest level of education, such as a diploma or academic transcript.
6. Document your work experience by filling out the Work Experience Verification Record Form in Part C, ensuring that all requirements outlined are met.
7. Complete Part B by requesting two individuals to fill out the Evaluation of Competency and Ethical Conduct forms.
8. Once all sections are completed and reviewed for accuracy, prepare to submit your application by collecting the $100 application fee in the appropriate form, such as a certified check or money order.
9. Your completed application should be mailed to the NYS OASAS Credentialing Unit, ensuring that you make copies of all documents for your own records before sending.
10. After submission, track your application status periodically and be prepared to respond promptly to any requests from the OASAS Credentialing Unit.

Start completing your NY PDS-11 application online today to take the first step towards becoming a CASAC.