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    Forms

    Complaint Registration

    Complaint Registration Form


    CE Providers

    CE Providers Application


    Applicants

    Application Action Steps

    Apply for a License Online

    Application for Licensure (paper)

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

    Verification of Licensure Form

    ADA Examination Accomodations Application Form

    ESL Examination Accomodations Application Form

    Apply for Temporary License (online)

    Temporary License Application (paper)

    Change in Background Check Requirements

    • Effective November 28, 2017 all applicants for initial licensure must submit to a fingerprint-based background check under Minnesota Statutes, Chapter 217.075.
    • If your application for intial licensure was received by the Board before November 28, 2017, you are required to submit to a MN BCA Criminal Background Check.  To obtain the MN BCA authorization form please email the Board Office at social.work@state.mn.us and provide your full name.  The form will be sent to you via email.  


    Licensees

    Apply to Renew Online

    Application for Renewal (paper)

    Name Change Form


    Supervision

    CLINICAL Supervision Plan Form

    CLINICAL Supervision Verification Form

    NONCLINICAL Supervision Plan Form

    NONCLINICAL Supervision Verification Form


    Provisional License Forms

    Provisional License Application

    Provisional License Supervision Plan Form

    Provisional License Six Month Evaluation Form

    Provisional License Final Evaluation Form


    Professional Firms

    Professional Firm Annual Report Form

    Professional Firm First Report

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