Hardship Request Application



Version: 10.22.21

Last Updated: 29-06-2024 16:55


Hardship Request Application This form is to be completed when a registrant will not be able to complete the certification process within their five-year registration period. Per California Code of Regulations (CCR) Title 9, Chapter 8, Subchapter 3, Section 13035 (f)(1) and (2): “Registrants shall complete certification as an AOD [Alcohol and Other Drug] counselor within five (5) years of the date of registration” [with any Department of Health Care Services (DHCS or Department) approved certifying organization] and “The certifying organization may allow up to two (2) years additional time for a leave of absence due to medical problem or other hardship…”. Hardship extensions will not be granted if more than seven (7) years have passed since the first date of registration.