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REGULATIONS
Vol. 27 Iss. 25 - August 15, 2011TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSINGBOARD OF SOCIAL WORKChapter 20FormsTitle of Regulation: 18VAC140-20. Regulations Governing the Practice of Social Work.
Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, FAX (804) 524-4434, or email elaine.yeatts@dhp.virginia.gov.
NOTICE: The following forms used in administering the regulation were filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name to access a form. The forms are also available through the agency contact or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.
FORMS (18VAC140-20)
Social Worker Licensure Application (rev. 8/07).
Clinical Social Worker Licensure Application (rev. 8/08).
Verification of Clinical Supervision (rev. 8/07).Verification of Casework Management and Supportive Services (rev. 8/07).Verification of Clinical Supervision (rev. 1/11).
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).
Instructions for Registration of Supervision for LSW (rev. 9/09).
Clinical Social Worker Reinstatement Application (rev. 4/08).
VA.R. Doc. No. R11-2944; Filed July 27, 2011, 1:48 p.m.