Forms

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Complaint Registration

Complaint Registration Form

CE Providers

CE Providers Application

Standard License Applicants

Standard License Application Action Steps

Apply for a Standard License Online

Standard License Application (paper)

Standard License 360 Clock Hours Forms 1-3 (Submit ONLY with Application for LICSW)

Verification of Licensure Form

Apply for Temporary License (online)

Temporary License Application (paper)

ASWB Nonstandard Testing Arrangements (paper)

ASWB Nonstandard Testing Arrangements (online)

Standard Licensees

Apply to Renew Standard License (online)

Application for Standard License Renewal (paper)

Apply to Reactivate an Expired Standard License (online)

Application for Reactivation from Standard License Expiration or Voluntary Termination (paper)

Standard License Supervision

Standard License CLINICAL Supervision Plan (paper)

Standard License CLINICAL Supervision Verification (paper)

Standard License NON-CLINICAL Supervision Plan (paper)

Standard License NON-CLINICAL Supervision Verification (paper)

Provisional License Forms

Provisional License Application Action Steps

Apply for a Provisional License Online

Provisional License Application (paper)

Provisional License Supervision Plan (paper)

Provisional License Six Month Evaluation (paper)

Provisional License Final Evaluation (paper)

Apply for Provisional to Standard License (online)

Provisional to Standard License Application (paper)

Other Forms

Name Change Form

Data Requests

Data Request Form - Data Subject

Data Request Form - Public

Data Request Form - Public Data Mailing List

Professional Firms

Professional Firm Annual Report Form

Professional Firm First Report

Military Members and Spouses

Military Servicemember/Spouse Portability Registration