Applications/Forms
- Telehealth Provider Registration Information
- Continuing Education Sponsorship Application
- Licensee List Request - $10
- Change of Address Form
- Change of Name Instructions/Form - Legal document required
- License Verification Request Online
- Verification of Out-of-State Social Work License
- Verification of Lawful Presence Form
***Notice***
Before taking the Association of Social Work Boards (ASWB) examination an Application for Licensure must be completed and submitted to the Social Work Board office. Please review Requirements for Licensure and Application for Licensure
before contacting the Board office.
Online Electronic Applications
We now have Electronic Applications you may submit with your payment online
Paper Applications
Below are paper applications that may be filled out and mailed in to the Board. The forms below may not be used in conjunction with the online electronic application listed above.
License Baccalaureate Social Work (LBSW)
License Master Social Work (LMSW)
License Independent Social Work Clinical Practice (LISW-CP)
and Supervisor
and Supervisor
- LISW-CP Application
- LISW Supervision Contract *** Contract must be submitted with a new or existing LISW CP/AP Application ***
- List of Approved Supervisors (LISW-CP/AP)
- LISW-CP/AP Licensure Requirements (Out of State Applicants)
- Requirements for Independent Level Licensure - CP and Guidelines for LISW Supervision
- LISW Required Coursework Form and Required Coursework Consortium
- Definition of Advance Practice and Clinical Practice Licenses
- Report of Supervised Experience
- License Independent Social Work Supervisor (LISW CP/AP) Application
License Independent Social Work Advanced Practice (LISW-AP)
and Supervisor
and Supervisor
- LISW-AP Application
- LISW Supervision Contract *** Contract must be submitted with a new or existing LISW CP/AP Application ***
- List of Approved Supervisors (LISW-CP/AP)
- LISW-CP/AP Licensure Requirements (Out of State Applicants)
- Requirements for Independent Level Licensure - AP and Guidelines for LISW Supervision
- LISW Required Coursework Form and Required Coursework Consortium
- Definition of Advance Practice and Clinical Practice Licenses
- Report of Supervised Experience
- License Independent Social Work Supervisor (LISW CP/AP) Application