BurgandyBall.jpg (1005 bytes) 12 Core Functions and 46 Global Criteria
BurgandyBall.jpg (1005 bytes) Alcohol and Drug Counseling Page
BurgandyBall.jpg (1005 bytes) Applications
BurgandyBall.jpg (1005 bytes) Board Information
BurgandyBall.jpg (1005 bytes) Brochures
BurgandyBall.jpg (1005 bytes) Certification/Verification
BurgandyBall.jpg (1005 bytes) Complaints
BurgandyBall.jpg (1005 bytes) Contact Us
BurgandyBall.jpg (1005 bytes) 

Continuing Education
  2012
  2013
  2014
  Home Study

BurgandyBall.jpg (1005 bytes) Education for Initial Licensure
BurgandyBall.jpg (1005 bytes)  Examinations
BurgandyBall.jpg (1005 bytes) Fees
BurgandyBall.jpg (1005 bytes) License Lookup
BurgandyBall.jpg (1005 bytes) Licensee Assistance Program
BurgandyBall.jpg (1005 bytes) License Requirements (LADC)
BurgandyBall.jpg (1005 bytes) Listings and Labels
BurgandyBall.jpg (1005 bytes) Map of Licensees by County pdficon.gif (134 bytes)
BurgandyBall.jpg (1005 bytes) Name/Address Changes
BurgandyBall.jpg (1005 bytes) Provisional License Requirements (PLADC)
BurgandyBall.jpg (1005 bytes) Reissue
BurgandyBall.jpg (1005 bytes) Regulations
Statutes
BurgandyBall.jpg (1005 bytes) Training
     To renew a license
BurgandyBall.jpg (1005 bytes) Supervisor Training 
    Psychologist
    Physician

Alcohol and Drug Counseling
Applications

To obtain a paper copy of the application, please contact the Licensure Unit at (402) 471-2117. The following applications may be completed on-line and then downloaded.

1. Provisional Licensed Alcohol and Drug Counselor
   pdficon.gif (134 bytes) Application
   pdficon.gif (134 bytes) Practical Training Verification
   pdficon.gif (134 bytes) 12 Core Functions
   pdficon.gif (134 bytes) Supervisor Registration
   pdficon.gif (134 bytes) Change in Supervisor

2. Initial Licensure-Licensed Alcohol and Drug Counselor 
   pdficon.gif (134 bytes) Application
   pdficon.gif (134 bytes) Verification of Employment

3. Reinstatment - Licensed Alcohol and Drug Counselor
    pdficon.gif (134 bytes) Application

4. Reciprocity-Licensed Alcohol Drug Counselor
   pdficon.gif (134 bytes) Application

5. Continuing Education for Alcohol and Drug Counselor
   pdficon.gif (134 bytes) Home Study Form
   pdficon.gif (134 bytes) Licensed Counselor Form
   pdficon.gif (134 bytes) Training Provider/Sponsor Form

6. 270 Hours-Education
   pdficon.gif (134 bytes) Approval Form

7. Examinations
    pdficon.gif (134 bytes) Written
    pdficon.gif (134 bytes) Special Accomodations

crldivider.gif (3455 bytes)

Professions and Occupations Home

Licensure Unit Home

Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.