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DUI Provider Program Forms – Forms Management. After selecting Forms Management, the folder should expand to show you the following links: Enrollment. Completion. This link will allow you to create a Proof of Enrollment Certificate (DL107). This link will allow you to create a Notice of Completion Certificate (DL101).
9 maj 2022 · Quarterly Licensing and Participant Enrollment Reports. 12 Hour Education Enrollment Report. 3-Month DUI Program Enrollment Report. 6-Month DUI Program Enrollment Report. 9-Month DUI Program Enrollment Report. 18-Month DUI Program Enrollment Report. 30-Month DUI Program Enrollment Report.
INSTRUCTIONS FOR COMPLETION OF THE DL 101R. Check the appropriate box at the top of the form to indicate which forms you are ordering. Program Name and Program License Number: Enter the name of the program and the program license number issued by the Department of Drug and Alcohol Programs (DADP).
You must retain this form in your ofice in a manner that will allow you to retrieve it by searching for the serial number of the corresponding Certificate (DL 107 or DL 101) and for the period required by Section 9866 of Title 9, California Code of Regulations.
California’s driving under the influence (DUI) laws apply to both alcohol and drugs. It is illegal to drive while under the influence of alcohol or any drug that affects your ability to drive safely.
NOTIFICATION OF TRANSFER TO A STATE-LICENSED PROGRAM FOR DRIVING-UNDER-THE-INFLUENCE (DUI) OFFENDERS. INSTRUCTIONS: When a participant requests a transfer to another state-licensed DUI program, the sending program.
27 sie 2024 · The Department of Health Care Services (DHCS), Behavioral Health Licensing and Certification Division, Driving-Under-The-Influence (DUI) Section, licenses and performs compliance monitoring on all DUI programs in California.
