Applications for Alcohol and Other Drug Use Professionals
This resource page provides applications for licensure, required forms to be completed and submitted with applications, education or certification requirements for renewal of a license.
Alcohol & Other Drug Use Professionals Home
Initial License
Checklists/Instructions:
- Initial Applicant Instructions for CRSW’S, LADC’S, MLADC’S, LCS
- Initial Applicant Checklist for CRSW’S
- Applicant Checklist for Initial Licensure as LADC or MLADC
- Eligibility and Applicant Checklist for Initial Clinical Supervisor Application
- How to Obtain a Criminal Background Check
- Military Service Question
- (IC & RC Exam Registration) International Certification Exam Registration
- 2023 Exam Notice
Applications:
- Initial Licensed Clinical Supervisor Application Form
- Application for Initial Licensure as an Alcohol and Drug Counselor or Master Alcohol and Drug Counselor
- Initial Certification Application as a Recovery Support Worker
Forms and Documents:
- Supervision Agreement
- Supervised Work Experience Report Form
- Supervised Practical Training Report Form
- Initial Licensed Clinical Supervisor Application Form
- Applicant Evaluation Form
- Educational and Training Summary Form
- Employment Verification Form
Mail your completed application, required forms and payment to:
Office of Professional Licensure & Certification
7 Eagle Square
Concord, NH 03301
Forms of Payment Accepted for Paper Applications: Personal Check, Money Order or Cashier's Check
Renew a License
- Visit: Online Applications for Renewal (You can also use this link to check the status of your Application and renew your Certification)
LADC/MLADC - Health Professions Survey link when completing online renewal found here: Health Professions Survey
About Renewing Your License Online
Reinstatement of License
Reciprocity
Other Requirements for Licensure
For other additional forms and documents