Credential Verification Request

IC&RC Certified credentials are exclusively issued by IC&RC Member Boards that carry our reciprocal credentials. International Certificates may be issued to the eligible professionals who carry these credentials. The certificates are directly tied to the professional’s credential/license with an active IC&RC Member Board. They are not free-standing certificates. IC&RC can only verify certification for professionals that hold an eligible credential through an active IC&RC Member Board.

Professionals should contact their IC&RC Member Board to determine if they carry an IC&RC Certified credential before completing this form. The contact information for all Boards can be found on the IC&RC Member Board Directory located at:

https://internationalcredentialing.org/member-boards/

Fee:

Credential Verification Letter: $10.00 USD

Professional's Name*

First NameLast Name

Requestor's Name

First NameLast Name

Requestor's E-mail*

example@example.com

Requestor's Phone Number*

Professionals must hold a reciprocal credential through an active IC&RC Member Board in order to be IC&RC certified. If you are unsure of your IC&RC Certification status/eligibility, contact the IC&RC Member Board in your jursidiction. Contact information for all boards can be found at the link below:

http://www.internationalcredentialing.org/member-boards/

IC&RC Member Board*

IC&RC Credential to be verified:*

ICADC (Internationally Certified Alcohol and Drug Counselor)ICAADC (Internationally Certified Advanced Alcohol and Drug Counselor)ICCS (Internationally Certified Clinical Supervisor)ICCJP (Internationally Certified Criminal Justice Addictions Professional)ICCDP (Internationally Certified Co-Occourring Disorders Professional)ICCDP-D (Internationally Certified Co-Occourring Disorders Professional-Diplomate)ICPS (Internationally Certified Prevention Specialist)ICPR (Internationally Certified Peer Recovery)

How would you like the verification letter sent?*

via Emailvia Regular MailBoth

Email verification to:

example@example.com

Mail verification to:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Attention to:

Would you like an additional copy sent to your email address?

YesNo

My Products

Credential Verification

$10.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

DISCLAIMER: While International Credentialing & Reciprocity Consortium (IC&RC) uses every reasonable effort to provide accurate and up-to-date information, we make no warranties or representations as to the accuracy of the content and assume no liability or responsibility for any error or omission in the content.

IC&RC Credential Verification Request