Forms

Renewal

Renewal Application 

CEU Report for Renewal 

 

Licensee

Verification of Licensure
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Verification of Licensure (PDF)

Name Change Request Form

 

Consumer

File a Complaint

Public Records Request (PDF)

Mailing List Request

 

Continuing Education

CEU Pre-Approval Organization

CEU Pre-Approval

Guide for Assessment of Continuing Education

 

LCSW — BACS

Board Orientation Workshop Registration

Application
Please allow eight (8) week for processing and board approval

 

Supervision

Supervision Contract

Employment Verification

Record of Supervision

Evaluation of Supervision

Professional Experience Verification