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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
Agency 125. Board of Psychology
Chapter 30. Regulations Governing the Certification of Sex Offender Treatment Providers
12/24/2025

FORMS (18VAC125-30).

Application for Certification as a Sex Offender Treatment Provider (rev. 10/2024)

Verification of Post-Degree Supervision (rev. 8/2024)

Verification of Training Certified Sex Offender Treatment Provider (rev. 08/2024)

Applicant Out-of-State Verification Form (rev. 8/2024)

Supervisor Out-of-State Verification Form (rev. 8/2024)

Application for Initial Residency as Sex Offender Treatment Provider Trainee (rev. 10/2024)

Request for Termination of Supervision (rev. 8/2024)

Sex Offender Treatment Provider Add/Change Residency (rev. 10/2024)

Reinstatement Application for Sex Offender Treatment Providers (rev. 10/2024)

Reinstatement Application for Sex Offender Treatment Providers Following Disciplinary Action (rev. 10/2024)

Sex Offender Treatment Trainee Supervisor Contract (rev. 3/2023)

Continuing Education Summary Form (rev. 11/2025)

Employer Notification of Board Order (rev. 9/2024)

Name or Address Change Form (rev. 8/2024)

Continuing Education or Course Approval Request for Compliance Monitoring (rev. 9/2024)

Request for Board Approval of Evaluator (rev. 9/2024)

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