Application Status Query

Instructions: 

Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.

Please verify the checklist information below, including your address. If your address has changed, please e-mail your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.

As of  :  06/16/2025
Application#  :  868867
Name  :  Foots, Tesa M
Profession  :  Clinical Substance Abuse Counselor
Address  :  Racine, WI
Application Status  :  Pending (In process)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)
NCAC I Exam Not Met
6/16/2025: To create an account & register for the exam go to: https://www.webassessor.com/naadac & click “Create New Account”.
Wisconsin’s Authorization Code: !WI600
NOTE: we are unable to accept any other exam but the NCAC I Exam for the CSAC per our legislation - TMB;
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10/30/2024: NEED: To create an account & register for the exam go to: https://www.webassessor.com/naadac & click Create New Account.
Wisconsin's Authorization Code: !WI600
NOTE: We are unable to accept any other exam but the NCAC I Exam for the CSAC per our legislation - TMB;
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4/26/23: NCAC I Exam required. To create an account & register for the exam go to: https://www.webassessor.com/naadac & click “Create New Account”.
Wisconsin’s Authorization Code: !WI600
PLEASE NOTE: we are unable to accept any other exam but the NCAC I Exam for the CSAC per our legislation - TMB
Application Complete Not Met
6/16/2025: NEED: application is over 1 year old, so an update is needed. Please see the email sent today for a copy of the application form 2743, then scan & email as a PDF to: dspscredsubstanceabuse@wi.gov
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disregard the automatic email you will receive; AFTER you have emailed the application update, log into your LicensE Account & submit a Support Ticket to inform us the document was sent - TMB;
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3/24/2025: NEED: application is over 1 year old, so an update is needed. Please see the email sent today for a copy of the application form 2743, then scan & email as a PDF to: dspscredsubstanceabuse@wi.gov
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disregard the automatic email you will receive; AFTER you have emailed the application update, log into your LicensE Account & submit a Support Ticket to inform us the document was sent - TMB;
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10/30/2024: NEED: application 18 months or older need update, your application was signed & dated on 3/14/2022; form 2743 EMAILED for update &/or correction;
Upload at: https://license.wi.gov/
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disregard the automatic email you will receive; AFTER you have emailed the application update, submit a LicensE Support Ticket to inform us the document was sent – TMB
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4/26/23: on page 1 under Date of Birth you did not provide this information; form 2743 EMAILED for update &/or correction; scan & email as a PDF attachment to: dspscredsubstanceabuse@wi.gov
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on page 3 under Certification of Legal Status you did not mark an option; page 3 of form 2743 EMAILED for update &/or correction; scan & email as a PDF attachment to: dspscredsubstanceabuse@wi.gov - TMB
Education and Training Form including proof of attendance and completion Not Met
11/6/2025: NOTE: rec’d form & document(s), see email for additional information - TMB;
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6/16/2025: NEED: complete ONLY 1 of the 2 education forms that fits how you rec’d your 360 hours of specialized education for Substance Abuse. Please review forms 2841 & 3079 at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx
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NOTE: form 3079 will ONLY apply to applicants who have completed Department approved Substance Abuse education, please refer to the Department approved program list under CURRENT Pre-Credential Education information at: https://dsps.wi.gov/Documents/SACCurrentPreCertificationEducation.pdf or FORMER Pre-Credential Education information at: https://dsps.wi.gov/Documents/SACFormerPreCertificationEducation.pdf - TMB;
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10/30/2024: NEED: complete ONLY 1 of the 2 education forms that fits how you rec’d your 360 hours of specialized education for Substance Abuse. Please review forms 2841 & 3079 at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx
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NOTE: form 3079 will ONLY apply to applicants who have completed Department approved Substance Abuse education, please refer to the Department approved program list under CURRENT Pre-Credential Education information at: https://dsps.wi.gov/Documents/SACCurrentPreCertificationEducation.pdf or FORMER Pre-Credential Education information at: https://dsps.wi.gov/Documents/SACFormerPreCertificationEducation.pdf - TMB;
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4/26/23: complete ONLY 1 of the 2 education forms that fits how you rec’d your 360 hours of specialized education for Substance Abuse. Please review forms 2841 & 3079 at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx
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form 3079 will ONLY apply to applicants who have completed Department approved Substance Abuse education, please refer to the Department approved program list under CURRENT Pre-Credential Education information at: https://dsps.wi.gov/Documents/SAC
Supervised Experience Form Not Met
6/16/2025: NEED: rec’d OLD form from Jacqueline McRae, this form has been revised as of 2/12/2024 need redone; print form 2749-CSAC at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx
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your supervisor will need to scan & email as a PDF to: dspscredsubstanceabuse@wi.gov
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your supervisor should disregard the automatic email they will receive; AFTER they have emailed the document we will need you to log into your LicensE Account & submit a Support Ticket to inform us the document was sent - (Support Tickets 1157436 & 1162297) - TMB;
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10/30/2024: NEED: rec’d OLD form from Jacqueline McRae, this form has been revised as of 2/12/2024 need redone; print form 2749-CSAC at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx
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supervisor will need to email to: dspscredsubstanceabuse@wi.gov
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supervisor should disregard the automatic email they will receive, after your supervisor has emailed the form we will need you to log into your LicensE Account & submit a Support Ticket to inform us the documents was sent - TMB;
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4/26/23: completion of 5,000 hours of supervised experience required. Your supervisor Jacqueline McRae has indicated hours of experience from 9/1/20 to 10/10/22 but you can ONLY count hours accrued from the 5 years immediately preceding the date of your CSAC application on 3/14/22. Supervisor will need to redo form 2749, print form at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx
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PLEASE NOTE: your SAC-IT was good through 2/28/21; your SAC-IT was EXPIRED as of 3/1/21, you will not be able to obtain supervised experience on or AFTER 3/1/21 - TMB;
Information on Conviction(s)/Pending Charge(s) (Form #2252) Not Met
6/16/2025: NEED: form is over 1 year old, so an update is needed. Please see the email sent today for a copy of the application form 2252, then scan & email as a PDF to: dspscredsubstanceabuse@wi.gov
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disregard the automatic email you will receive; AFTER you have emailed the application update, log into your LicensE Account & submit a Support Ticket to inform us the document was sent - TMB;
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10/30/2024: NEED: $8.00 CIB Fee; CIB Report 1 year or older need update; print form 3071 at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx & email to: dsps@wi.gov
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NEED: form 1 year or older need update, your document was signed & dated on 8/1/2021; print form 2252 at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx & email to: dspscredsubstanceabuse@wi.gov
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disregard the automatic email you will receive; AFTER you have emailed the document update, log into your LicensE Account & submit a Support Ticket to inform us the document was sent - TMB
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8/29/23: need $8.00 CIB Fee;, CIB Report 1 year or older need update; print form 3071 at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx & email to: dsps@wi.gov (Support Ticket 181313);
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form 1 year or older need update, your document was signed & dated on 9/9/20; print form 2252 at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx & email to: dspscredsubstanceabuse@wi.gov - TMB;
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4/26/23: form 1 year or older need update, your document was signed & dated on 8/1/21; print form 2252 at: https://dsps.wi.gov/Pages/Professions/ClinicalSubstanceAbuseCounselor/Default.aspx &then scan & email as a PDF attachment to: dspscredsubstanceabuse@wi.gov - TMB;
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PAID 2/18/21

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
Wisconsin Statutes and Rules Exam Met
2nd SAC-IT 3/3/15
Application Fee Met
04/28/2025: Email sent; RE case/support ticket # 01104204 refund request; see case/support ticket under name Tesa Foots - leb
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PAID 2/4/21
from SAC $160
Official Transcript(s) Met
8/29/23: complete,
Bachelor of Arts Criminal Justice - TMB;
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4/26/23: need transcript for a DEGREE in the Behavioral Science Field DIRECTLY from School; mail to: Attn: CSAC, DSPS, PO Box 8935, Madison WI 53708-8935 or email to: dspscredsubstanceabuse@wi.gov - TMB
Other General Met
6/16/2025: NAME: NOTE: complete,
'Zackery' - TMB;
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'Foots'