Credentialed Alcoholism and Substance Abuse Counselor Renewal Application
This document provides essential information for renewing your CASAC credential. It outlines the educational and professional activity requirements for renewal. Ensure compliance with the guidelines for successful application submission.
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How do I fill this out?
To fill out this form, start by gathering all required documentation. Provide accurate details about your professional activities related to addiction counseling. Lastly, ensure that all sections are completed before submission.

How to fill out the Credentialed Alcoholism and Substance Abuse Counselor Renewal Application?
1
Gather necessary documentation to support your application.
2
Complete each section of the form accurately.
3
Detail your professional activities, ensuring they meet requirements.
4
Have an authorized representative sign if needed.
5
Submit the completed application before the deadline.
Who needs the Credentialed Alcoholism and Substance Abuse Counselor Renewal Application?
1
Renewing RASAC counselors need this application to maintain their credentials.
2
Addiction treatment professionals use this form for continued education requirements.
3
Educational institutions require it to verify teaching activities.
4
Support groups may need this for documenting their professional activities.
5
Individuals seeking credential verification utilize this application.
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What are the instructions for submitting this form?
To submit the form, you can send it via email to oasas_credentialing@nysed.gov or fax it to (518) 485-1110. Alternatively, applications can be mailed to the Office of Alcoholism and Substance Abuse Services, 1450 Western Avenue, Albany, NY 12203. Ensure to check the guidelines for any specific submission instructions related to your application.
What are the important dates for this form in 2024 and 2025?
Key dates for the CASAC renewal process include application submission deadlines and continuing education requirements for 2024 and 2025. Always refer to the current guidelines for specific dates related to your renewal period. Timely submissions ensure continued certification.

What is the purpose of this form?
The purpose of this form is to facilitate the renewal of the Credentialed Alcoholism and Substance Abuse Counselor (CASAC) credential. It provides a structured process for documenting required education and professional development activities. Adherence to this application process ensures that counselors meet state regulations and continue delivering quality services.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Name: The name of the individual applying for credential renewal.
- 2. Group or Organization Served: Details of the organization where professional activities were conducted.
- 3. Type of Professional Activity: A dropdown or checkboxes for selecting the type of professional activity undertaken.
- 4. Date of Completion: The date when the professional activity was completed.
- 5. Activity Clock Hours: The number of hours spent on the professional activity, including preparation time.
What happens if I fail to submit this form?
Failing to submit this form can result in a lapse of your CASAC credential. This may affect your ability to practice professionally in the field of addiction counseling. It's crucial to comply with submission timelines to avoid disruption in your credentials.
- Loss of Credential: Not submitting the application can lead to automatic denial of your CASAC certification.
- Employment Risks: Professionals may face job insecurity without a valid CASAC credential.
- Legal and Compliance Issues: Forgetting to submit can result in legal ramifications from licensing boards.
How do I know when to use this form?

- 1. Credential Renewal: This application is used for renewing your CASAC credential on time.
- 2. Professional Development Reporting: Document your continuing education and professional activity hours.
- 3. Record Keeping for Audits: Maintain your compliance with state regulations and guidelines.
Frequently Asked Questions
What is the CASAC renewal application?
It's a document required for professionals seeking to renew their Credentialed Alcoholism and Substance Abuse Counselor certification.
How do I submit the CASAC renewal application?
You can submit the form electronically through your respective portal or by mail.
What activities count towards professional development hours?
Activities include teaching courses, presenting at conferences, and volunteering in related fields.
Can I edit the CASAC renewal application online?
Yes, you can edit the application using PrintFriendly's PDF editor.
How do I download the CASAC renewal application after editing?
After making edits, click the download button to save your updated document.
Is there a limit to professional activity hours I can claim?
Yes, you can claim a maximum of 20 hours for each renewal period.
What if I make a mistake on my application?
You can edit your PDF in PrintFriendly before submitting it.
What information is required for the professional activities verification?
You'll need details such as the name of the applicant, activity description, and supporting documentation.
How can I sign the CASAC renewal application?
You can add your signature electronically using PrintFriendly.
Where can I find examples of acceptable professional activities?
Examples are listed in the application form and include various educational and volunteer activities.