Recovery Credentialing Reporting

1. Person submitting the report: *This question is required.

2. Email of the person submitting the report: *This question is required. This question requires a valid email address.

3. What is your grant number: *This question is required.

4. What reporting are you submitting: *This question is required.

5. Provide your workplan: *This question is required.

File: {{filename}} delete

5. Provide progress on your workplan: *This question is required.

File: {{filename}} delete

5. Number of individuals over the performance period applying for initial credentialing *This question is required. This question requires a valid number format.

5. Number of individuals over the performance period applying for re-credentialing *This question is required. This question requires a valid number format.

5. Number of individuals over the performance period who completed the IC/RC exam *This question is required. This question requires a valid number format.

5. Total number credentialed individuals to date *This question is required. This question requires a valid number format.

5. Provide the associated policies and procedures: *This question is required.

File: {{filename}} delete