Certification & Licensure Forms

Application for Certification/Licensure Packet–DO NOT USE THIS APPLICATION IF YOU ARE CURRENTLY A NC LCSW ASSOCIATE
LCSW Short Form Application –USE THIS APPLICATION TO MOVE FROM LCSWA TO LCSW
Certification/Licensure Renewal Affidavit
Clinical Social Work Supervision Form
CSWM Administrative Supervision Form
Employment Verification Form
Exam Request Form-CSW, CMSW, CSWM ONLY
License Verification Form
Name/Address Change Form
Professional Reference Form
Position Statement on Technology Facilitated Services
Public Notice Statement for Applications
Predetermination Petition Form
Online Processing Waiver Request Form