Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
Wis. Stat. § 440.08 (2), the required renewal date for the Prevention Specialist credential is 02/28/odd years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
2017 Wisconsin Act 262, as of May 1, 2018, the requirements to obtain a Prevention Specialist credential have changed.
Complete 120 hours of approved education, including 50 hours specific to alcohol, tobacco, and other substance abuse and six (6) hours specific to ethics, in the following content areas:
- Planning and evaluation
- Prevention education and service delivery
- Community organization
- Public Policy and environmental change
- Professional growth and responsibility
Application for Licensure
2745||Application for Prevention Specialist|
2786||Application for Out-of-State Reciprocity Prevention Specialist |
|3217||Application for Fee Reduction (If applying for a fee reduction, this form must accompany the application for the credential.)|
2781||Education and Training Form|
|3222||Re-Registration Application for Substance Abuse Professionals (For credentials expired five (5) years or more)|
2829||Malpractice Suits or Claims Form (If applicable)|
3085||Application for Predetermination (Optional-Submit ONLY if you have been convicted of any felony, misdemeanor, or other violations of federal or state law in this state or any other and you desire a review of your conviction record before applying for a credential.)|
2252||Convictions and Pending Charges|
|Fax Payment Form|