International Certificate Order Form

International Certificate Order Form
To purchase an IC&RC International Certificate, professionals must first hold a valid and current reciprocal-level credential or license through an IC&RC Member Board.

An International Certificate is directly tied to a professional’s credential or license with their jurisdictional Member Board, they are not free-standing certificates.

International Certificates will be issued to professionals using the same issue and expiration dates used by their IC&RC Member Board for the corresponding credential or license.

Professionals should research their IC&RC Member Board to determine the equivalency of their credential/license and confirm their eligibility to receive an IC&RC International Certificate. All IC&RC Member Boards and the reciprocal credentials they carry are listed in the IC&RC Member Board Directory linked here:

https://internationalcredentialing.org/member-boards/
Instructions
- Confirm your eligibility for an IC&RC International Certificate with your IC&RC Member Board. If you are unsure of the IC&RC certificate for which you are eligible, please contact the IC&RC Member Board in your jurisdiction.
- Complete this form and upload a copy of your board-specific certificate that deems you eligible for an IC&RC International Certificate.
- All information will be verified with your IC&RC Member Board.
- Requests with incomplete or inaccurate information will not be processed, nor will the payment be refunded.
Fees

$35.00 for a Digital Copy Only

$45.00 for a Digital Copy & Physical Copy

Professional Information
Full Name*

First NameMiddle NameLast Name
Phone Number*
E-mail*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Certificate Information
Please Note:

Not all IC&RC Member Boards carry each credential listed below. If your IC&RC Member Board is not listed in the dropdown menu for the credential, they do not carry it as an IC&RC Certified Credential or have additional requirements.

Due to jurisdictional requirements, some boards issue the International Certificates directly. If you do not see your certification and/or specific credentialing board listed, please contact your board directly for further instruction.

All Member Board Contact information can be found here.

For further assistance or additional information regarding IC&RC certification eligibiity, please email Skye@internationalcredentialing.org.
Select your IC&RC Certified Credential:*

Alcohol & Drug Counselor (ICADC)Advanced Alcohol & Drug Counselor (ICAADC)Clinical Supervisor (ICCS)Criminal Justice Addictions Professional (ICCJP)Prevention Specialist (ICPS)Peer Recovery (ICPR)Peer Recovery-Associate (ICPR-A)
ADC Member Boards
If you do not see your Board listed – you may not be eligible for the International Certificate. Please confirm eligibility with your Board.
AADC Member Boards
If you do not see your Board listed – you may not be eligible for the International Certificate. Please confirm eligibility with your Board.
CS Member Boards
If you do not see your Board listed – you may not be eligible for the International Certificate. Please confirm eligibility with your Board.
CCJP Member Boards
If you do not see your Board listed – you may not be eligible for the International Certificate. Please confirm eligibility with your Board.
PS Member Boards
If you do not see your Board listed – you may not be eligible for the International Certificate. Please confirm eligibility with your Board.
PR Member Boards
If you do not see your Board listed – you may not be eligible for the International Certificate. Please confirm eligibility with your Board.
PR-A Member Boards
If you do not see your Board listed – you may not be eligible for the International Certificate. Please confirm eligibility with your Board.

Certificate Format(s) Requested*

Digital Certificate OnlyPDF via Email

$35.00

Digital and Physical Certificatevia Email & U.S. Regular Mail

$45.00

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

Please upload the Member Board-specific certificate that deems you eligible for the corresponding International Certificate.*

Cancelof
Should be Empty:

International Certificate Order Form

Instructions

Fees

$35.00 for a Digital Copy Only

$45.00 for a Digital Copy & Physical Copy

Professional Information

Certificate Information