Get Dc Dcapc General Information Sheet – New Application-recertification 2010-2025

This guide provides clear, step-by-step instructions to assist users in completing the DC DCAPC General Information Sheet for New Application or Recertification. Designed for individuals with various levels of experience, it aims to simplify the online form-filling process.

Follow the steps to successfully complete your application form online.

1. Press ‘Get Form’ button to access the form and open it in the designated editor.
2. Select the certification body for testing by choosing either IC & RC or NCC. Make sure to indicate your choice clearly.
3. Indicate the certification level you are applying for by selecting one of the options: Entry Level I (CAC), Level II (CADC), Advanced Level III (ACADC), or CCS for Certified Clinical Supervisor. Ensure to circle the correct choice.
4. Complete the 'Total Fees Included' section by entering the appropriate dollar amount.
5. Fill in your contact information. Print or type your name as you want it to appear on your certificate, followed by your home and office addresses.
6. Choose where you would like your mail sent by selecting either your Home or Office.
7. Provide your cell phone number, date of birth, and the last four digits of your social security number.
8. Enter your email addresses. You may include multiple addresses if applicable.
9. Fill out any optional phone numbers, such as office and home phone, if you choose to provide them.
10. Input your certification number, as well as the certification effective date and re-certification date.
11. Describe your current position at work clearly in the designated section.
12. Answer the question regarding any past crime conviction and specify if applicable, providing details for the year.
13. Indicate whether you are currently on probation or parole.
14. Respond to the question about prior credentials by confirming if you have ever been credentialed by another board or agency.
15. If applicable, provide the name of the board or agency in question.
16. If you have been involved in any disciplinary action regarding credentials, explain this on a separate sheet of paper, and remember to advise relevant boards or agencies to send a letter of explanation directly to the DCAPC.
17. Once all sections are completed, review your entries for accuracy. You can then save changes, download, print, or share the form as necessary.

Get started now and complete your DC DCAPC General Information Sheet online.