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 Application Practical Training Verification 12 Core Functions Supervisor Registration Change in Supervisor 2.Initial Licensure-Licensed Alcohol and Drug Counselor Application Verification of Employment 3) Reciprocity-Licensed Alcohol Drug Counselor Application 4) Continuing Education for Alcohol and Drug Counselor Home Study Form Licensed Counselor Form Training Provider/Sponsor Form 5) 270 Hours-Education Approval Form 6) Examinations Written Special Accomodations
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Licensing & Regulatory Affairs Home
Documents in PDF format require the use of Adobe Acrobat Reader which can be downloaded for free from Adobe Systems, Inc.