FORMS (18VAC140-20).
Verification of Clinical Supervision (rev. 8/2016)
Request for Termination of Supervision (rev. 2/2020)
Application for Initial and Add or Change Registration of Supervision toward LCSW licensure, online form available at https://www.dhp.virginia.gov/social/social_forms.htm
Application for Licensure by Examination and Endorsement as a Licensed Clinical Social Worker, online form available at https://www.dhp.virginia.gov/social/social_forms.htm
Application for Licensure by Examination and Endorsement as a Licensed Baccalaureate Social Worker, online form available at https://www.dhp.virginia.gov/social/social_forms.htm
LCSW Supervision Log (rev. 3/2020)
Application for Reinstatement of Licensure: Checklist Instructions (rev. 3/2020)
Application for Reinstatement Following Disciplinary Action: Checklist Instructions (rev. 3/2020)
Social Work Name/Address Change (rev. 2/2020)
Request for Verification of Virginia Social Work License (rev. 2/2020)