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The document outlines the application process for obtaining a Gambling Specialty Designation for Credentialed Alcoholism and Substance Abuse Counselors (CASAC) and Credentialed Prevention Professionals (CPP) in New York State. It details the eligibility requirements, including work experience and training, as well as the grandparenting process that allows qualified professionals to apply for this designation. The application must be submitted by August 29, 2007, and includes specific instructions on completing the necessary forms and providing supporting documentation. Additionally, it emphasizes the importance of ethical standards in practice.

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Click ‘Get Form’ to open the CASAC and CPP Gambling Specialty Designation Grandparenting Application in the editor.
Begin with Part A - Application Summary. Fill in your personal information clearly, including your name, Social Security Number, and contact details.
In the Employment Information section, provide your job title and current employer's details. Ensure accuracy as this information is crucial for verification.
Complete the Credential Information by checking the appropriate box for CASAC or CPP and entering your credential number.
Attach the non-refundable $25 Grandparenting Fee as indicated on Part A. Remember, personal checks are not accepted.
Move to Part B - Work Experience and Training Attestation Record. Document your work experience over the past ten years related to alcoholism and gambling services.
Ensure that a Qualified Health Professional signs off on your work experience if you are applying for CASAC, or a Qualified Prevention Supervisor for CPP.
Finally, review all sections for completeness before submitting your application by mail to OASAS Credentialing Unit.

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Information reports 2026

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