⚠ COVID-19 INFORMATION: Vaccine Information, Other Resources 

PCCC/EDAP Renewal Application

Region 9

This application packet for PCCC/EDAP renewal is available below in a PDF format. In addition, there are forms within the application packet that need to be completed. These forms are available below in the section titled Fillable Word documents.

PDF format (Contains the complete application packet)


Region 9

Fillable Word documents (these need to be completed and included in the renewal application)