Virginia Board of Social Work
Applicatons & Forms
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Regulations Governing the Practice of Social Work - 3-2-2011
Registration of Supervision
Instructions and Application for INITIAL Registration of Supervision towards LCSW Licensure (Effective April 1, 2012)
Instructions and Application for ADD/CHANGE Registration of Supervision towards LCSW Licensure (Effective November 1, 2011)
Semi-Annual Supervision Evaluation for LCSW
Verification of Clinical Supervision
Licensed Clinical Social Worker by EXAMINATION Application Forms
Application packet for Licensure by Examination as a Clinical Social Worker (Effective April 1, 2012)
Effective January 7, 2010, the regulations require that candidates approved by the Board to sit for an exam must pass the examination within two (2) years of the date of the initial board approval. You may contact the ASWB at 800-225-6880 to register for the examination once you have received written Board approval by mail.
If the candidate has not passed the examination by the end of the two-year period, the applicant must reapply according to the requirements of the regulations in effect at that time. For candidates who received approval to sit for the ASWB examination prior to January 7, 2010, you were required to pass the examination by January 7, 2012.
If you are re-applying for licensure to take the clinical level examination, you must submit all documentation found within the application packet for LCSW by examination, including the verification of field placement/practicum form and the coursework outline form, as you must meet the current education and supervision requirements as outlined in the regulations.
Licensed Clinical Social Worker by ENDORSEMENT Application Forms
Application packet for Licensure by Endorsement as a Clinical Social Worker (Effective May 1, 2012)
Licensed Social Worker Application Forms
LSW by Endorsement (Effective May 1, 2012)
LSW Registration of Supervision (for BSW applicants only)
Request to Take Bachelor’s Level Exam (for BSW applicants only)
Reinstatement
Reinstatement after Disciplinary Action
Reinstatement - Licensed Clinical Social Worker
Reinstatement - Licensed Social Worker
Continuing Education Forms
Continuing Education Summary Form
Form for Reporting Social Work Attendance At Formal Staffing
Form for Reporting Social Work Independent Study
Compliance Forms & Information
Self Report Form
Licensed Clinical Social Worker
Performance Evaluation Form
Supervisor Report Form – Behavioral Sciences
Miscellaneous Forms
Drug Log for Prescribers (.xls)
Employer Notified of Board Order
Prescriber Report to Board of Drugs or Prescription Given to Licensee
Recovery Support Group Attendance Log
Social Work Name-Address Change Form
Approval Forms
Chaperone Approval Request Form
Supervisor Approval Request – Behavioral Sciences