Virginia Board of Social Work
Applications & Forms

Registration of Supervision
Licensed Clinical Social Worker
Licensed Baccalaureate Social Worker
Licensed Master's Social Worker
Reinstatement
Miscellaneous
Compliance Forms

Registration of Supervision toward LCSW Licensure

Click here to begin the online application process for Initial and Add/Change Registration of Supervision toward LCSW licensure.

LCSW Supervision Log

Verification of Clinical Supervision

Request for Termination of Supervision

Licensed Clinical Social Worker Application Forms (LCSW Examination & Endorsement)

Click here to begin the online application process for Licensure by Examination and Endorsement as a Licensed Clinical Social Worker (LCSW).

Licensed Master's Social Worker Application Forms (LMSW Examination & Endorsement)

Click here to begin the online application process for Licensure by Examination and Endorsement as a Licensed Master's Social Worker (LMSW).

Licensed Baccalaureate Social Worker Application Forms (LBSW Examination & Endorsement)

Click here to begin tthe online application process for Licensure by Examination and Endorsement as a Licensed Baccalaureate Social Worker (LBSW).

Reinstatement

Reinstatement following Disciplinary Action- LBSW, LMSW and LCSW

Reinstatement - LBSW, LMSW and LCSW

Miscellaneous Forms

Social Work Name-Address Change Form

Request for Change of Status (Active to Inactive)

Request for Change of Status (Inactive to Active)

Request for Verification of Virginia License

Request for Late Renewal

Compliance Forms and Information

Compliance FAQ’s

Initial Contact Form

Approval Request Forms

CE and Education Approval Request

Evaluator Approval Request

Compliance Supervisor Request

Therapist Approval Request

Reports

Employer Notification Form

Group Attendance Report

Physician Prescription Report

Self-Report

Supervisor Report

Therapy Report (Initial)

Therapy Report (Quarterly)

Temporary Licenses issued under Executive Order 57

The documents below apply to temporary licenses issued under Executive Order 57.

Licensed Clinical Social Worker

Frequently Asked Questions related to Continuity of Care

Executive Order 51

Executive Order 57

Application for Licensure as a Licensed Clinical Social Worker by Endorsement

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Virginia Board of Social Work Applications & Forms