CSCPF Notice of Decision - Certification Logo

  • Notice of Decision - Certification

  • This Notice of Decision form is straightforward because the certification candidate will have already undergone all required steps in the process for New, Reciprocal, or Recertification certifications.

    The submission of this Notice of Decision form is how the decision of the Certification Review Board (on behalf of the Practitioner Community) affirms that the candidate has met the requirements of each certification category and is otherwise formed and ready to receive the requested certificate.  

    In the case of Recertification and Reciprocal certifications, the Notice of Decision form is how the Practitioner Community affirms the candidate for recertification or reciprocal certification and is filed by the candidate directly.  

    Please note: The CSCPF Operations Team will issue the new certificate after all membership information is verified.  They will also update the candidate's profile on the CSCPF Member Directory to reflect the new certification status.  Questions? Email: Operations Team

    Please note: The conditions associated with a provisional approval must be specified in the Report of the Practitioner Community.  Questions?  Email: Certification Team

    Required items:

    - Report of the Community                                -New and Reciprocal certifications only.

    - Report of the Candidate                                  -New certifications only.

    - Report of the Commissioned Review Liaison      -New certifications only.

    - Certification Review Decision Summary             -All certifications.

    - Reflection paper                                             -Recertification ONLY.

    - Payment $150                                                -Recertification & Reciprocal ONLY.

    PLEASE NOTE: You must click on the arrow icon on the right side of each shaded grey area to open it

    • About Your Practitioner Community 
    • Candidate Information 

    • Decision Summary 
    •  - -
    • Reports 

    • NOTE: You must name the members of the Review Board below. However, typing the reports into this form is optional -- you may upload each report in one or more PDF files in the File Upload section below. A Report of the Practitioner Community must always be submitted; the Review Liaison and Candidate Reports are only needed in new certifications.

    • File Upload 

    • At least one PDF must be uploaded -- the completed and signed Certification Review Board Decision Summary, in all cases. The other reports may be uploaded below or entered above.

      For Reciprocal Certifications, the candidate's current certificate should also be scanned and submitted as a PDF (if a copy of the certificate is unavailable, the circumstances and basis for a decision to certify the candidate must be described in the Report of the Practitioner Community).

      Questions? Call (925) 658-5740 opt 1.

    • Upload Files
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    • CSCPF Code of Ethics and Grievance Protocol 

    • Please check this box to signify your acknowledgement of the CSCPF Code of Ethics and Grievance Protocol.  

    • Payments (Recertification & Reciprocal ONLY) 
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