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Virginia Board of Social Work
Applications & Forms

Online Application Handbook

Check the status of your application

Registration of Supervision toward LCSW Licensure

Template of a Supervisee in Social Work Supervisory Contract

LCSW Supervision Log

Verification of Clinical Supervision

Request for Termination of Supervision

 

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

 

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

 

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

 

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

Out-of-state temporary practitioner reporting form

 

Continuing Education Forms

Continuing Education Experience Summary Form

 

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)

 

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Board of Social Work
Email: socialwork@dhp.virginia.gov

Jaime Hoyle, Executive Director
Canek Aguirre, Citizen Member, Chairperson