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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
Agency 140. Board of Social Work
Chapter 20. Regulations Governing the Practice of Social Work
5/26/2026

FORMS (18VAC140-20).

Termination of Supervision (rev. 9/2024)

Initial Application for Supervision for LCSW (rev. 10/2024)

Verification of Clinical Supervision (rev. 9/2024)

Add or Change Supervision (rev. 10/2024)

LCSW Application by Examination (rev. 10/2024)

LCSW Application by Endorsement (rev. 10/2024)

LCSW Reapplication for Licensure by Examination (rev. 10/2024)

LMSW Application by Examination (rev. 10/2024)

LMSW Application by Endorsement (rev. 10/2024)

LBSW Application by Examination (rev. 10/2024)

LBSW Application by Endorsement (rev. 10/2024)

LCSW Supervision Log (rev. 9/2024)

Application for Reinstatement for LCSW (rev. 9/2024)

Application for Reinstatement for LBSW and LMSW (rev. 9/2024)

Application for Reinstatement Following Disciplinary Action (rev. 9/2024)

Change of Name or Address (rev. 10/2025)

Change of Status (Active to Inactive) (rev. 9/2024)

Change of Status (Inactive to Active) (rev. 9/2024)

Verification of Virginia License (rev. 11/2025)

Renewal Application (rev. 9/2024)

Late Renewal Application (rev. 9/2024)

Applicant Out-of-State Verification Form (rev. 9/2024)

Extension Request for Supervised Experience (rev. 9/2024)

Supervisor Approval Application (rev. 10/2024)

Supervisor Out-of-State Verification (rev. 9/2024)

Verification of Education and Field Placement Practicum Hours (rev. 9/2024)

Group Attendance Log (rev. 10/2024)

Prescription Report (rev. 10/2024)

Employer Notification of a Board Order (rev. 10/2024)

Initial Contact for Compliance Monitoring (rev. 10/2024)

Licensee Self-Report Form (rev. 10/2024)

Continuing Education Course Approval Request (rev. 10/2024)

Evaluator Approval Request (rev. 10/2024)

Therapist Approval Request (rev. 10/2024)

Practice Supervisor Report Form (rev. 10/2024)

Request for Board Approval of Practice Supervisor (rev. 10/2024)

Initial Therapy Compliance Report (rev. 10/2024)

Quarterly Report for Therapy Compliance (rev. 10/2024)

Continuing Education Summary Form (rev. 6/2025)

Website addresses provided in the Virginia Administrative Code to documents incorporated by reference are for the reader's convenience only, may not necessarily be active or current, and should not be relied upon. To ensure the information incorporated by reference is accurate, the reader is encouraged to use the source document described in the regulation.

As a service to the public, the Virginia Administrative Code is provided online by the Virginia General Assembly. We are unable to answer legal questions or respond to requests for legal advice, including application of law to specific fact. To understand and protect your legal rights, you should consult an attorney.