Forms

Registration of Supervision / Change of Status
Record of Supervision Log Form
Annual Supervision Progress Report- Clinical
Annual Supervision Progress Report- Advanced Macro

Attestation of Supervised Experience/Supervision Termination
Supervisor Brochure

Application for Licensure - LMSW/LBSW
Application for Licensure - LCSW/LAMSW (includes Attestation Form)
Application for Licensure by Reciprocity

Fingerprinting/Background Check Instructions

Professional Disclosure Statement