To renew your certification fill in the form below and mail it with the applicable fee to:
ACADC Certification Renewal
PO Box 8604
Redlands, CA 92375
CSAC I RENEWAL: Due every two years - Fee $75
CDAAC P-S or M RENEWAL: Due every two years - Send in certificates verifying the completion of 40 continuing education hours / CEUs with the required renewal fee of $150. If you need to complete your continuing educucation hours, call 909-446-0375 to enroll in make-up CEU classes which may be done through distance learning.
Please print out this form and send it along with your check or M.O. for the correct fee made out to ACADC.
FIRST NAME _________________________________________________________________
LAST NAME__________________________________________________________________
MAILING ADDRESS____________________________________________________________
CITY_____________________________________STATE_______________ZIP____________
PHONE_____________________________________________________________________
EMAIL_______________________________________________________________________
PLEASE RENEW MY _________________________________ CERTIFICATION AS OF THIS
_____ DAY OF ______________________________, 200__.
SIGNED: _____________________________________________________________________
