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Board of Social Work Commonwealth of Kentucky

Forms

​​​​​​​Forms

You can perform many licensure processes online, such as applications, renewals and reinstatements and others shown below. Other forms must be completed, printed out and submitted to the Board. Please save Microsoft Word forms to your computer and complete the form using Microsoft Word. Handwritten forms WILL NOT be accepted.

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Licensure

What's here? Apply for licensure, apply for temporary permission to practice, renew, or reinstate your KY license.

Application for Licensure

APPLY FOR LSW, CSW, OR LCSW LICENSE IN KY ONLINE HERE.

Application Checklist.pdf
Licensure Requirements [Adobe PDF]
* Licensure Application Form [Microsoft Word .doc, .docx]
* Save Microsoft Word forms to your computer, and complete the form using Microsoft Word. Handwritten forms WILL NOT be accepted.


Temporary Permission to Practice

Note: An applicant for a temporary permit must have submitted an application and been approved to sit for the exam.

* Application for Temporary Permit to Practice Clinical Social Work [Microsoft Word .doc, .docx]
* Application for Temporary Permit to Practice Non-Clinical Social Work [Microsoft Word .doc, .docx]
* Documentation of Supervision for Temporary Permit [Microsoft Word .doc, .docx]
* Request for Additional Supervisor for Temporary Permit [Microsoft Word .doc, .docx]
* Save Microsoft Word forms to your computer, and complete the form using Microsoft Word. Handwritten forms WILL NOT be accepted.


Renew or Reinstate

RENEW OR REINSTATE YOUR KY SOCIAL WORK LICENSE ONLINE HERE.

* License Renewal Form [Microsoft Word .doc, .docx]
* Save Microsoft Word forms to your computer, and complete the form using Microsoft Word. Handwritten forms WILL NOT be accepted.



Clinical Supervision

What's here? Documents for KY CSWs to practice clinical social work under supervision in KY.

Supervision Contracts should be submitted in hard copy.

APPLY FOR TO BE AN APPROVED LCSW SUPERVISOR ONLINE HERE.

* Contract for Clinical Social Work Supervision [Microsoft Word .doc, .docx]
* Notice of Supervised Practice to Client [Microsoft Word .doc, .docx]
* Request for Additional LCSW Supervisor [Microsoft Word .doc, .docx]
* Request to be an Approved LCSW Supervisor [Microsoft Word .doc, .docx]
* Supervised Experience Documentation Form [Microsoft Word .doc, .docx]
* Continued Supervision after Clinical Exam Approval [Microsoft Word .doc, .docx]
* Save Microsoft Word forms to your computer, and complete the form using Microsoft Word. Handwritten forms WILL NOT be accepted.


Complaints

SUBMIT COMPLAINTS ONLINE HERE.

* Complaint Form [Microsoft Word .doc, .docx]
* Save Microsoft Word forms to your computer, and complete the form using Microsoft Word.


Continuing Education

What's here? Applications for an individual licensee to seek credit approval for a seminar or conference, or CE providers and sponsors.

SUBMIT INDIVIDUAL APPLICATION FOR CONTINUING EDUCATION APPROVAL ONLINE HERE.

Sponsor Application for Continuing Education Approval [Adobe PDF]
* Individual Application for Continuing Education Approval [Microsoft Word .doc, .docx]
* Save Microsoft Word forms to your computer, and complete the form using Microsoft Word. Handwritten forms WILL NOT be accepted.

The following continuing education forms may be submitted online by providers and sponsors.

Provider Renewal Application for Continuing Education Credit Approval
Sponsorship ​Renewal Application for Continuing Education Credit Approval


​Mail all completed forms to
Kentucky Board of Social Work
125 Holmes Street, Suite 310
Frankfort, Kentucky 40601