Skip to Content
Online Services | Agencies | Governor | Help
Search Virginia.Gov

Virginia Board of Social Work
Applicatons & Forms

The below documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer 97/2000 to view and print DHP's documents.

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 Examination

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

Compliance FAQs

Self Report Form

Licensed Clinical Social Worker

Other

Performance Evaluation Form

Supervisor Report Form – Behavioral Sciences

Chaperone Report Form

Miscellaneous Forms

Chaperone Fact Sheet

Drug Log for Prescribers (.xls)

Employer Notified of Board Order

Initial Contact Form

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

Evaluator Approval Request

Supervisor Approval Request – Behavioral Sciences

Therapist Approval Request

Verification

Request for Verification of Virginia License