Board of Addiction and Prevention Professionals

Applications and Forms

Renewal Applications

• Application for ACT Renewal
• Application for Certification/Licensure Renewal
• Application for PST Renewal

Initial Applications

• Application for ACT Recognition
• Application for CAC
• Application for CPS
• Application for LAC
• Application for PST Recognition
• Application for Status Upgrade to LAC

IC&RC Application

• IC&RC International Certificate Application

Course Review Forms

• Course Review Form CAC
• Course Review Form CPS
• Course Review Form LAC

Continuing Professional Training Approval Forms

• Request for Approval of Continuing Professional Training - Attendee
• Request for Approval of Continuing Professional Training - Sponsor

Other Forms

• Prevention Code of Ethics
• Supervised Practical Training Hours Worksheet CAC-LAC
• Supervised Practical Training Hours Worksheet CPS
• Trainee Supervisor Change Form
• Work Experience Verification for Independent Practice