Appendix 9998. FORMS (18VAC140-20)

Instructions and Application for Registration of Supervision Post-Graduate Degree Supervised Experience for LCSW (rev. 6/11).

Social Worker Licensure Application (rev. 8/07).

Clinical Social Worker Licensure Application (rev. 8/08).

Verification of Clinical Supervision (rev. 8/07).

Verification of Supervised Field Placement/Practicum (rev. 6/11).

Out of State Licensure Verification (rev. 8/07).

Licensure Verification of Out-of-State Supervisor (rev. 8/07).

Form for Reporting Social Work Attendance at Formal Staffing (rev. 8/07).

Form for Reporting Social Work Independent Study (rev. 8/07).

General Information for Licensure by Examination as a Licensed Social Worker, with Application Instructions (rev. 8/07).

General Information for Licensure by Endorsement as a Licensed Social Worker, with Application Instructions (rev. 8/07).

General Information for Licensure by Examination as a Clinical Social Worker and Application Instructions (rev. 4/11).

General Information for Licensure by Endorsement as a Clinical Social Worker and Application Instructions (rev. 4/11).

Instructions for Registration of Supervision for LSW (rev. 9/09).

Application for Registration of Supervision - Post-Bachelor's Degree Supervised Experience for LSW (rev. 9/09).

Clinical Social Worker Reinstatement Application (rev. 4/08).

Social Work Reinstatement Application (rev. 4/08).

Clinical Social Worker Licensure Application - Reinstatement Following Disciplinary Action (rev. 4/08).

Continuing Education Summary Form (rev. 8/07).