Chapter 4758-5 | Licensure and Certification Requirements

Rule 4758-5-01 | Requirements for certification of chemical dependency counselor assistants (CDCA).

• Effective: April 1, 2024
• Promulgated Under: 119.03

The chemical dependency counselor assistant (CDCA) certificate is obtained first as a thirteen-month, non-renewable preliminary certification before application for the subsequent two-year, renewable certification.

(A) To be certified as a chemical dependency counselor assistant (CDCA) for a preliminary, non-renewable thirteen-month period, an applicant shall:

(1) Be eighteen years of age and hold a high school diploma or equivalent;

(2) Submit a formal application, including:

(a) Suitable documentation provided in a manner specified by the board;

(b) An application fee; and

(c) A personal attestation statement agreeing to practice by the code of ethical standards adopted by the board.

(3) Complete forty hours of approved substance use disorder specific education which meets the education content and minimum hours as follows:

(a) Substance use disorder and recovery knowledge (five hours)

(b) Counseling procedures and strategies as applied to those with substance use disorder (fourteen hours)

(c) Group process and techniques (five hours)

(d) Assessment and diagnosis of substance use disorder (three hours)

(e) Treatment planning (seven hours)

(f) Legal and ethical issues pertaining to substance use disorder professionals (six hours)

A minimum of one hour must be completed in an ethics course specified by the board.

(4) Substance use disorder specific education hours listed in paragraphs (A)(3)(a) to (A)(3)(f) of this rule must meet the following requirements:

(a) Continuing education coursework from board approved continuing education provider entities, at least fifty per cent of which the total was completed within two years from the date of application;

(b) College coursework verified on an official college or university transcript in which at least fifty percent of the total coursework was completed within five years from the date of application; or

(c) A combination of continuing education and college coursework as described in paragraphs (A)(4)(a) and (A)(4)(b) of this rule in which at least fifty per cent of the coursework has been completed in the last two years.

(5) The preliminary CDCA certification will be granted for thirteen months.

(B) Each individual who holds a preliminary CDCA certification shall complete an application for the CDCA renewable certificate not sooner than ten months from the date the preliminary certificate becomes active and not later than one year after that preliminary CDCA certificate lapses, meeting the following requirements:

(1) Complete thirty hours of approved substance use disorder specific education which meets the education content and minimum hours as follows:

(a) Substance use disorder and recovery knowledge (five hours)

(b) Counseling procedures and strategies with as applied to those with substance use disorder (eight hours)

(c) Group process and techniques (five hours)

(d) Assessment and diagnosis of substance use disorder (five hours)

(e) Treatment planning (six hours)

(f) Legal and ethical issues pertaining to substance use disorder professionals (three hours)

(2) Substance use disorder specific education listed in paragraphs (B)(1)(a) to (B)(1)(f) of this rule must meet the following requirements:

(a) Continuing education coursework from board approved continuing education provider entities which is completed within the first twelve months the individual holds the CDCA preliminary certificate;

(b) College coursework verified on an official college or university transcript in which at least fifty per cent of the total coursework was completed within five years from the date of application;

(c) A combination of continuing education and college coursework as described in paragraphs (B)(3)(a) and (B)(3)(b) of this rule; and

(d) Does not duplicate the same coursework submitted for approval of the preliminary CDCA certificate.

(C) Failure to complete the requirements in paragraph (B) of rule 4758-5-01 of the Administrative Code shall result in a lapse of the individual's preliminary CDCA certification. Individuals whose CDCA preliminary certification is lapsed beyond one year shall be required to reapply and meet all requirements for CDCA preliminary certification.

Last updated April 3, 2024 at 2:40 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.43
Five Year Review Date: 4/1/2029
Prior Effective Dates: 6/13/2004, 5/6/2013, 3/24/2017

Rule 4758-5-03 | Requirements for licensure of chemical dependency counselors II (LCDC II).

• Effective: July 3, 2023
• Promulgated Under: 119.03

To be licensed as a chemical dependency counselor II (LCDC II) the applicant shall:

(A) Submit a formal application, including:

(1) Suitable documentation;

(2) An application fee;

(3) A personal attestation statement agreeing to practice by the code of ethical standards adopted by the board; and

(4) A recommendation and suitable documentation as follows:

(a) Provided directly from the applicants supervisor.

(b) Provided in a manner specified by the board.

(B) After approval of the application by the board, receive a passing score on the IC&RC (ADC) or other board approved alcohol and drug counselor examination

(C) Complete either paragraph (C)(1) or (C)(2) of this rule:

(1) Provide official transcript from an accredited school or university that verifies one of the following:

(a) An associates degree in a behavioral science or nursing; or.

(b) Any bachelors degree.

(2) Continuously held and actively worked under a valid CDCA certificate that was maintained in good standing since December 31, 2008 and complete paragraphs (D)(1) and (F)(1) of this rule.

(D) Complete the hours in either paragraph (D)(1) or (D)(2) of this rule of work, which includes a minimum of twenty percent of those hours in the clinical core functions of substance use disorder treatment services;

(1) Complete two thousand hours of work experience or a combination of work experience plus a supervised internship or supervised apprenticeship

A minimum of two hundred and twenty hours of work in the core functions in paragraph (E) of this rule.

(2) Complete one thousand hours of work:

(a) A minimum of two hundred and twenty hours of work in the core functions in paragraph (E) of this rule.

(b) In addition to the hours, complete an internship

(i) Suitable documentation, provided in a manner specified by the board, is provided.

(ii) Completion at a site that provides experience in substance use disorder intensive outpatient treatment or higher-level care,

(iii) A minimum of two hours per week of clinical supervision,

(iv) Completion of two hundred and forty hours within two semesters, not to exceed three years, and

(v) Completion while holding an active CDCA certificate.

(E) The core functions and minimum hours as follows:

(1) Screening, assessment, and engagement: Forty hours and twenty-five hours must be in assessment;

(2) Treatment planning, collaboration, and referral: Seventy hours and thirty-five hours must be in treatment planning;

(3) Counseling: Ninety hours and thirty-five hours must be of individual and thirty-five hours of group; and

(4) Professional and ethical responsibilities: twenty hours.

(F) Complete the hours of approved education in paragraph (G) of this rule, as follows:

(1) In addition to paragraph (D)(1) of this rule, one hundred eighty hours of education.

(a) Must be substance use disorder specific education;

(b) Fifty per cent of the total hours shall be completed within five years from the date of application; and

(c) Completion may be through:

(i) Board approved continuing education units (CEU)

(ii) Courses completed from an accredited school or university, or

(iii) A combination of paragraphs (F)(1)(c)(i) and (F)(1)(c)(ii) of this rule.

(2) In addition to paragraph (D)(2) of this rule, one hundred eighty hours of education.

(a) Fifty per cent of the total hours shall be completed within three years from the date application, and

(b) From an accredited school or university that is compliant with division (C)(3) of section 4758.42 of the Revised Code.

(G) The education content and minimum hours as follows:

(1) Substance use disorder and recovery knowledge (twenty-four hours);

(2) Counseling procedures and strategies as applied to those with substance use disorder (thirty hours);

(3) Group process and techniques (eighteen hours);

(4) Assessment and diagnosis of substance use disorder (twenty-four hours);

(5) Family dynamics (twenty-four hours);

(6) Pharmacology (eighteen hours, with six hours specific to medication assisted treatment/recovery);

(7) Relapse and recovery strategies (six hours);

(8) Treatment planning (eighteen hours); and

(9) Legal and ethical issues pertaining to substance use disorder professionals (eighteen hours).

(H) The board shall have sole discretion to determine if documentation submitted is suitable.

Last updated July 5, 2023 at 2:57 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.22, 4758.24, 4758.42
Five Year Review Date: 7/3/2028

Rule 4758-5-04 | Requirements for licensure of chemical dependency counselors III (LCDC III).

• Effective: July 3, 2023
• Promulgated Under: 119.03

To be licensed as a chemical dependency counselor III (LCDC III) the applicant shall :

(A) Submit a formal application, including:

(1) Suitable documentation;

(2) An application fee;

(3) A personal attestation statement agreeing to practice by the code of ethical standards adopted by the board; and

(4) A recommendation and suitable documentation as follows:

(a) Provided directly from the applicants supervisor.

(b) Provided in a manner specified by the board.

(B) After approval of the application by the board, receive a passing score on the IC&RC (ADC) or other board approved alcohol and drug counselor examination, or provide documentation of a valid license, certificate, or credentials issued under another chapter of the Revised Code that authorizes the individual to engage in a profession whose scope of practice includes substance use disorder counseling and diagnosing and treating substance use disorder conditions.

(C) Provide official transcript from an accredited school or university that verifies a bachelors degree or higher degree in a behavioral science or nursing.

(D) Complete the hours of work, which includes a minimum of twenty percent of those hours in the clinical core functions of substance use disorder treatment services;

Complete two thousand hours of work experience or a combination of work experience plus a supervised internship or supervised apprenticeship.

A minimum of two hundred and twenty hours of work in the core functions in paragraph (E) of this rule.

(E) The core functions and minimum hours as follows:

(1) Screening, assessment, and engagement: Forty hours and twenty-five hours must be in assessment;

(2) Treatment planning, collaboration, and referral: Seventy hours and thirty-five hours must be in treatment planning;

(3) Counseling: Ninety hours and thirty-five hours must be of individual and thirty-five hours of group; and

(4) Professional and ethical responsibilities: twenty hours.

(F) Complete the hours of approved education in paragraph (G) of this rule, as follows:

In addition to paragraph (D)(1) of this rule, one hundred eighty hours of education.

(1) Must be substance use disorder specific education;

(2) Fifty per cent of the total hours shall be completed within five years from the date of application; and

(3) Completion may be through:

(a) Board approved continuing education units (CEU)

(b) Courses completed from an accredited school or university, or

(c) A combination paragraphs (F)(1)(c)(i) and (F)(1)(c)(ii) of this rule.

(G) The education content and minimum hours as follows:

(1) Substance use disorder and recovery knowledge (twenty-four hours);

(2) Counseling procedures and strategies as applied to those with substance use disorder (thirty hours);

(3) Group process and techniques (eighteen hours);

(4) Assessment and diagnosis of substance use disorder (twenty-four hours);

(5) Family dynamics (twenty-four hours);

(6) Pharmacology (eighteen hours, with six hours specific to medication assisted treatment/recovery);

(7) Relapse and recovery strategies (six hours);

(8) Treatment planning (eighteen hours); and

(9) Legal and ethical issues pertaining to substance use disorder professionals (eighteen hours).

(H) The board shall have sole discretion to determine if documentation submitted is suitable.

Last updated July 5, 2023 at 2:57 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.22, 4758.24, 4758.41
Five Year Review Date: 7/3/2028
Prior Effective Dates: 3/22/2013 (Emer.), 1/1/2017

Rule 4758-5-05 | Requirements for licensure of independent chemical dependency counselors (LICDC).

• Effective: July 3, 2023
• Promulgated Under: 119.03

To be licensed as an independent chemical dependency counselor (LICDC) the applicant shall:

(A) Submit a formal application, including:

(1) Suitable documentation;

(2) An application fee;

(3) A personal attestation statement agreeing to practice by the code of ethical standards adopted by the board; and

(4) A recommendation and suitable documentation as follows:

(a) Provided directly from the applicants supervisor.

(b) Provided in a manner specified by the board.

(B) After approval of the application by the board, receive a passing score on the IC&RC (ADC) or other board approved alcohol and drug counselor examination, or provide documentation of a valid license, certificate, or credentials issued under another chapter of the Revised Code that authorizes the individual to engage in a profession whose scope of practice includes substance use disorder counseling and diagnosing and treating substance use disorder conditions.

(C) Provide official transcript from an accredited school or university that verifies a master's degree or higher degree in a behavioral science or nursing.

(D) Completion of at least one of the following:

(1) Coursework obtained within the masters or higher graduate degree as specified in paragraphs (D)(1)(a) to (D)(1)(e) of this rule. The board may also consider up to three graduate courses completed after the masters or higher graduate degree was attained to meet the requirements of paragraphs (D)(1)(a) to (D)(1)(e) of this rule;

(a) Counseling theories (forty clock hours);

(b) Individual and group counseling procedures (eighty clock hours with a minimum of twenty clock hours in individual counseling and twenty clock hours in group counseling);

(c) Fundamentals of assessment and diagnosis and psychopathology (ninety clock hours);

(d) Cultural humility (thirty clock hours); and

(e) Ethics (thirty clock hours).

(2) Masters degree or higher from an accredited program from an accredited school or university as follows:

(a) Addiction/substance use disorder counseling;

(b) Clinical counseling;

(c) Clinical psychology;

(d) Counseling psychology;

(e) Pediatrics psychology; or

(f) Social work.

(E) Complete the hours of work, which includes a minimum of twenty per cent of those hours in the clinical core functions of substance use disorder treatment services;

Complete two thousand hours of work experience or a combination of work experience plus a supervised internship or supervised apprenticeship.

A minimum of two hundred and twenty hours of work in the core functions in paragraph (F) of this rule.

(F) The core functions and minimum hours as follows:

(1) Screening, assessment, and engagement: Forty hours and twenty-five hours must be in assessment;

(2) Treatment planning, collaboration, and referral: Seventy hours and thirty-five hours must be in treatment planning;

(3) Counseling: Ninety hours and thirty-five hours must be of individual and thirty-five hours of group; and

(4) Professional and ethical responsibilities: Twenty hours.

(G) Complete the hours of approved education in paragraph (H) of this rule, as follows:

(1) In addition to paragraph (E)(1) of this rule, one hundred eighty hours of education.

(a) Must be substance use disorder specific education;

(b) Fifty per cent of the total hours shall be completed within the five years from the date of application; and

(c) Completion may be through:

(i) Board approved continuing education units (CEU)

(ii) Courses completed from an accredited school or university, or

(iii) A combination of paragraphs (G)(1)(c)(i) and (G)(1)(c)(ii) of this rule.

(H) The education content and minimum hours as follows:

(1) Substance use disorder and recovery knowledge (twenty-four hours);

(2) Counseling procedures and strategies as applied to those with substance use disorder (thirty hours);

(3) Group process and techniques (eighteen hours);

(4) Assessment and diagnosis of substance use disorder (twenty-four hours);

(5) Family dynamics (twenty-four hours);

(6) Pharmacology (eighteen hours, with six hours specific to medication assisted treatment/recovery);

(7) Relapse and recovery strategies (six hours);

(8) Treatment planning (eighteen hours); and

(9) Legal and ethical issues pertaining to substance use disorder professionals (eighteen hours).

(I) The board shall have sole discretion to determine if documentation submitted is suitable.

Last updated July 5, 2023 at 2:57 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.22, 4758.24, 4758.40
Five Year Review Date: 7/3/2028
Prior Effective Dates: 6/13/2004

Rule 4758-5-06 | Requirements for licensure of independent chemical dependency counselors-clinical supervisor (LICDC-CS).

• Effective: July 3, 2023
• Promulgated Under: 119.03

To be licensed as an independent chemical dependency counselor-clinical supervisor (LICDC-CS) the applicant shall hold an active LICDC license that is in good standing and shall:

(A) Submit a formal application, including:

(1) Suitable documentation;

(2) An application fee;

(3) A personal attestation statement agreeing to practice by the code of ethical standards adopted by the board; and

(4) A recommendation and suitable documentation as follows:

(a) Provided directly from the applicants supervisor.

(b) Provided in a manner specified by the board.

(B) After approval of the application by the board, receive a passing score on the IC&RC or other board approved clinical supervisor examination, or provide documentation of a valid license, certificate, or credentials issued under another chapter of the Revised Code that authorizes the individual to engage in a profession whose scope of practice includes the clinical supervision of substance use disorder counseling, substance use disorder counseling, and diagnosing and treating substance use disorder conditions.

(C) Complete the hours specified in paragraphs (C)(1) and (C)(2) of this rule.

(1) Complete two thousand hours of work experience or a combination of work experience plus a supervised internship;

A minimum of twenty per cent of the hours of substance use disorders counseling in the clinical core functions;

(2) Complete two thousand hours of clinical substance use disorder supervisory work experience as follows:

(a) A minimum of two hundred hours shall be face-to-face.

(b) Performed under proper supervision

(D) Thirty hours of approved clinical supervision specific education in paragraph (E) of this rule:

(1) Fifty per cent of the total hours shall be completed within five years from the date application.

(2) Completion may be through:

(a) Board approved continuing education units (CEU),

(b) Credits from an accredited school or university, or

(c) A combination paragraphs (D)(2)(a) and (D)(2)(b) of this rule.

(E) The education content and minimum hours as follows:

(1) Counselor development (minimum four hours);

(2) Professional and ethical standards (minimum four hours);

(3) Program development and quality assurance (minimum four hours);

(4) Performance evaluation (minimum four hours); and

(5) Administration (minimum four hours).

(F) Requirements completed under this provision are additional and are exclusive from the LICDC.

(G) The board shall have sole discretion to determine if documentation submitted is suitable.

Last updated July 5, 2023 at 2:57 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.22, 4758.24, 4758.39
Five Year Review Date: 7/3/2028
Prior Effective Dates: 3/22/2013 (Emer.)

Rule 4758-5-07 | Requirements for certification of registered applicants (RA).

• Effective: May 6, 2013
• Promulgated Under: 119.03

(A) To be certified as a registered applicant, an individual shall complete the following:

(1) Complete and submit a registered applicant form and a professional development plan that is acceptable to the board along with the required fee.

(2) Be at least eighteen years of age.

(3) Have at least a high school diploma or high school equivalence diploma.

(B) The registered applicant is a two year certificate.

(C) An individual may not reapply to be a registered applicant.

Last updated April 18, 2024 at 1:45 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.22, 4758.24, 4758.44
Five Year Review Date: 5/6/2023
Prior Effective Dates: 6/13/2004

Rule 4758-5-08 | Requirements for certification of Ohio prevention specialist assistants (OCPSA).

• Effective: March 24, 2017
• Promulgated Under: 119.03

(A) To be certified as a prevention specialist assistant, an individual shall complete the following:

(1) Submission of a formal application.

(2) Be at least eighteen years of age.

(3) Have at least a high school diploma or high school equivalence diploma.

(4) At least one hundred hours of compensated or volunteer work, field placement, intern, or practicum experience in prevention services.

(5) Have at least forty-five hours of prevention related education of which fifty percent shall have been obtained within the last two years and nine hours shall be alcohol and other drug prevention specific. The required content areas with the specific contact hours are as follows:

(a) Domain I: planning and evaluation (three hours)

(b) Domain II: prevention education and service delivery (three hours)

(c) Domain III: communication (three hours)

(d) Domain IV: community organization (three hours)

(e) Domain V: public policy and environmental change (three hours)

(f) Domain VI: professional growth and responsibility (fifteen hours)

(i) Prevention specific ethics education (three hours)

(ii) Cultural competency (three hours)

(g) The remaining hours may be distributed among these areas at the applicants discretion.

Last updated April 18, 2024 at 1:45 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.46
Five Year Review Date: 5/6/2023
Prior Effective Dates: 5/6/2013

Rule 4758-5-09 | Requirements for certification of Ohio prevention specialist (OCPS ).

• Effective: March 24, 2017
• Promulgated Under: 119.03

(A) To be certified as a prevention specialist, an individual shall complete the following:

(1) Submission of formal application.

(2) An associate's degree or higher from an accredited educational institution.

(3) Two thousand hours of documented work experience in prevention of which a minimum of twenty per cent shall be devoted to planning and/or delivering prevention services. This work may include paid and volunteer hours, field placement, internship, or practicum experience.

(4) One hundred twenty practical experience hours. A minimum of ten hours shall be completed in each of the following performance domains:

(a) Planning and evaluation

(b) Prevention education and service delivery

(c) Communication

(d) Community organization

(e) Public policy and environmental change

(f) Professional growth and responsibility

(g) The remaining seventy hours may be completed in any domain as deemed appropriate by the applicant.

(5) One hundred twenty hours of prevention related education of which fifty per cent shall have been obtained within the last five years and twenty-four hours shall be alcohol and other drug prevention specific. The required content areas with the specific contact hours are as follows:

(a) Domain I: planning and evaluation (three hours)

(b) Domain II: prevention education and service delivery (three hours)

(c) Domain III: communication (three hours)

(d) Domain IV: community organization (three hours)

(e) Domain V: public policy and environmental change (three hours)

(f) Domain VI: professional growth and responsibility (forty hours)

(i) Prevention-specific ethics education (six hours)

(ii) Cultural competency (three hours)

(g) The remaining hours may be distributed among these areas at the applicants discretion.

(6) Successful completion of the IC&RC prevention specialist (PS) examination.

Last updated April 18, 2024 at 1:45 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.45
Five Year Review Date: 5/6/2023
Prior Effective Dates: 6/13/2004, 8/17/2008

Rule 4758-5-10 | Requirements for certification of Ohio prevention consultant (OCPC).

• Effective: March 24, 2017
• Promulgated Under: 119.03

(A) To be certified as a prevention consultant, an individual shall complete the following:

(1) Submission of formal application.

(2) A bachelor's degree or higher from an accredited educational institution.

(3) Six thousand hours of documented compensated work experience in prevention, including at least four thousand hours of administering or supervising the services.

(4) One hundred twenty practical experience hours. A minimum of ten hours shall be completed in each of the following performance domains:

(a) Planning and evaluation

(b) Prevention education and service delivery

(c) Communication

(d) Community organization

(e) Public policy and environmental change

(f) Professional growth and responsibility

(g) The remaining seventy hours may be completed in any domain as deemed appropriate by the applicant.

(5) One hundred twenty hours of prevention related education of which fifty per cent shall have been obtained within the last five years and twenty-four hours shall be alcohol and other drug prevention specific. The required content areas with the specific contact hours are as follows:

(a) Domain I: planning and evaluation (three hours)

(b) Domain II: prevention education and service delivery (three hours)

(c) Domain III: communication (three hours)

(d) Domain IV: community organization (three hours)

(e) Domain V: public policy and environmental change (three hours)

(f) Domain VI: professional growth and responsibility (forty hours)

(i) Prevention-specific ethics education (six hours)

(ii) Cultural competency (three hours)

(g) The remaining hours may be distributed among these areas at the applicants discretion.

(6) Ninety hours of administrative or supervisory education. The required content areas with the specific content hours are as follow:

(a) At least three semester credit hours or forty-five clock hours in human resource management;

(b) At least three semester credit hours or forty-five clock hours in fiscal management.

(7) Successful completion of the IC&RC prevention specialist (PS) examination.

Last updated April 18, 2024 at 1:45 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.44
Five Year Review Date: 5/6/2023
Prior Effective Dates: 4/1/2007

Rule 4758-5-11 | Requirements for gambling disorder endorsements.

• Effective: July 3, 2023
• Promulgated Under: 119.03

To receive a gambling disorder endorsement, an individual shall complete the following:

(A) Submission of formal application.

(B) Verification of an active independent chemical dependency counselor, chemical dependency counselor III, or chemical dependency counselor II license issued by the board.

(C) Thirty hours of gambling disorder education with a minimum of four hours completed in each of the following areas:

(1) Knowledge of gambling disorder

(2) Gambling counseling practice

(3) Special issues in gambling treatment

(4) Professionalism in gambling treatment

(D) One hundred hours of compensated work or supervised internship in gambling disorder direct clinical experience.

(1) Clinical experience shall be supervised by one of the following:

(a) An independent social worker with demonstrated competency in gambling disorder treatment licensed under Chapter 4757. of the Revised Code

(b) A professional clinical counselor with demonstrated competency in gambling disorder treatment licensed under Chapter 4757. of the Revised Code

(c) A psychologist with demonstrated competency in gambling disorder treatment licensed under Chapter 4732. of the Revised Code

(d) An independent chemical depenency counselor - clinical supervisor with gambling disorder endorsement licensed under Chapter 4758. of the Revised Code

(e) An independent chemical depenency counselor with gambling disorder endorsement licensed under Chapter 4758. of the Revised Code

(2) An individual may be issued an gambling disorder preliminary endorsement without having complied with paragraph (D) of this rule, but the individual shall comply with paragraph (D) of this rule within two years of issue.

(3) An individual who fails to comply with paragraph (D)(1) of this rule is not entitled to renew the endorsement.

Last updated July 5, 2023 at 2:57 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.48
Five Year Review Date: 7/3/2028