TX HHS Form 3233. Licensed Chemical Dependency Counselor Program Request for Criminal History Evaluation

The TX HHS Form 3233, Licensed Chemical Dependency Counselor Program Request for Criminal History Evaluation, is a crucial document that helps solve the problem of verifying an individual's criminal history in the context of applying to the Licensed Chemical Dependency Counselor (LCDC) program. This form is typically used by individuals seeking admission to the LCDC program and requires them to provide detailed information about their criminal convictions, deferred adjudications, and arrests.

The form is designed to collect specific information from applicants, including personal details, criminal history, and any previous licenses held in Texas. Key features of the form include the requirement to list all convictions, deferred adjudications, and arrests in chronological order, as well as providing copies of relevant documents such as indictments and judgments. The form also emphasizes the importance of accuracy, noting that failure to disclose all criminal history can lead to invalidation of the evaluation letter.

It is essential for applicants to carefully complete this form, as it serves as a critical component of the LCDC program application process. By providing accurate and detailed information about their criminal history, individuals seeking admission to the program can ensure a smooth and successful application experience. For questions about the LCDC Program, email [[email protected]](mailto:[email protected]).