New Applicants for Chemical Dependency Service Certification Forms

• New Service Provider Certification
  Application Form [Word] (fill-in form) or [PDF]
  Instructions and FAQs [Word] (fill-in form) or [PDF]
  Sample Floor Plan
  ADA Checklist for Existing Facilities
   
• Criminal Background Check form (from Washington State Patrol) [PDF Fill-In]  
  Must use the Request for Child/Adult Abuse Info Act form. To access the form in Word or PDF, click on "FORMS" on the WSP WATCH website https://watch.wsp.wa.gov/Help?Index=forms

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