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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).
17 mar 2023 · Program requirements are: 52 hours of group counseling; 12 hours of alcohol and drug education; 6 hours of community reentry monitoring; and biweekly individual interviews during the first 12 months of the program.
9 maj 2022 · DUI Program Forms. Back to Driving Under the Influence. 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
This form is to be used under the following circumstances: When a program participant has completed all the required DUI Program components, but you are unable to immediately issue a Notice of Completion Certificate (DL 101) and capture the participant’s signature on the (paper) completion certificate.
8 lip 2021 · Provide guidance on the availability of flexibility for DUI programs related to blanket leaves of absence (LOA), suspension of on-site inspections, supplemental funding, and counselor certification. DHCS COVID-19 Frequently Asked Questions:
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).
In general, an AB541 program must include (at minimum): an enrollment session, two case management sessions, ten alcohol/drug awareness education classes (a total of 15 hours), ten group sessions (a total of 15 hours), and. typically, Alcohol Anonymous (AA) meetings.
