TX HHS Form 3236. Licensed Chemical Dependency Counselor Licensure by Reciprocity Application

The Licensed Chemical Dependency Counselor Licensure by Reciprocity Application (TX HHS Form 3236) is a crucial document for professionals seeking to obtain licensure in the state of Texas. This form helps solve the problem of obtaining licensure through reciprocity, allowing individuals who have already obtained a similar credential in another jurisdiction to apply for licensure in Texas.

This application requires applicants to provide personal information, educational background, and license details. Key features include the need to attach supporting documents, as specified in the form instructions, and the requirement of a $150 total fee, as mandated by Texas Administrative Code Title 26 (26 TAC) Section 562.15(a)(6) and 26 TAC Section 562.4(a). The application also includes a statement of understanding, which outlines the applicant's responsibilities and follow-up actions.

By filling out this form, applicants can expect to provide accurate information about their educational background, license details, and reciprocal credential. Key points to note include:

• The application is typically used by professionals seeking licensure as a Licensed Chemical Dependency Counselor (LCDC) in the state of Texas.
• The form requires applicants to provide personal information, including social security number, date of birth, and sex.
• The application includes a statement of understanding, which outlines the applicant's responsibilities and follow-up actions.