Get Al Application For Re-certification Of Drug-free Workplace Premium Credit Program

This guide provides a clear and step-by-step approach to filling out the AL Application For Re-Certification Of Drug-Free Workplace Premium Credit Program online. Whether you are new to this process or seeking to renew your certification, this guide will assist you every step of the way.

Follow the steps to complete your application online effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the form by entering the name of the Drug-Free Workplace Coordinator. Ensure the name provided is accurate, as it serves as the primary contact for any inquiries regarding the application.
3. In the 'Company' section, provide the full legal name of your organization. This must reflect the name under which your business is registered.
4. Fill in the address of your company, including street address, city, state, and zip code. Be thorough to avoid any processing delays.
5. Enter a valid email address where you can receive notifications regarding your application. This will facilitate communication with the Department of Labor.
6. Provide a contact phone number for any follow-up regarding your application. Ensure this number is currently active.
7. Indicate the number of employees working for your company by entering the total number in the specified field.
8. Check the appropriate box indicating the year of your re-certification application, identifying whether this is your second, third, or fourth re-certification.
9. In the certification statement section, enter the name and title of the person attesting to the Drug-Free Workplace Policy. This declaration ensures that the current policy has not changed or includes an attached revised policy for review.
10. If the policy has changed, confirm that a new/revised policy document is attached as required. Ensure all related documents are labeled clearly.
11. The application must be signed by an officer or owner. Fill out the name and title, then provide the necessary signature and date.
12. The notarization section must be completed by a notary public. Ensure the document is properly signed and dated before submission.
13. Once the form is fully completed, review it for accuracy. Save changes, and download or print the form as needed for your records.
14. Mail the completed application along with a $25.00 check for the re-certification fee to the designated Department of Labor address provided in the guidelines.

Complete your re-certification application online today to ensure your Drug-Free Workplace Premium Credit continues seamlessly.