Documentation Required for Reinstatement of a Lapsed ADC License/Certificate

Before applying for licensure, please familiarize yourself with the general licensing policies.

An applicant for reinstatement of a Connecticut licensure or certification that has lapsed due to nonrenewal shall provide the following documentation:

A completed, notarized application with photograph and fee in the amount of $190.00 in the form of a bank check or money order payable to, "Treasurer, State of Connecticut";

The applicant’s current curriculum vitae (CV) including a synopsis of professional activity since completion of alcohol and drug counselor education;

Verification of any out-of-state license or certificate held (current or expired) submitted directly to this office from the source.  Please contact the jurisdiction prior to submitting the request form as most charge a fee for this service;

Verification from the appropriate authority confirming the applicant's most recent employment including dates and an overall evaluation of the applicant's ability to practice with reasonable skill and safety.  If in private practice, a letter from another practitioner with whom the applicant has a referral relationship.  Such letter shall indicate dates of the referral relationship and an evaluation of the applicant's ability to practice with reasonable skill and safety.

Please note that an alcohol and drug counselor who has been out of active, clinical practice for a significant period of time may be required to complete additional training or an examination.  Applicants to whom this applies will receive further information from the Department upon receipt of an application.

All supporting documentation should be sent to:

Connecticut Department of Public Health

Alcohol and Drug Counselor Licensure/Certification

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134  

Phone: (860) 509-7603

Fax:  (860) 707-1980

Email:  dph.conselorsteam@ct.gov