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Licensed Clinical Social Work Applications & Forms

Licensing Services

Licensed Clinical Social Workers 


Applications & Forms

Application for Licensed Clinical Social Worker by Examination

Application for Licensed Clinical Social Worker by Endorsement

Application to Reinstate an Expired License

Application to Change Status from Active to Inactive

Application to Reactivate an Inactive License

Provisional Licensure

Model Mandatory Disclosure Form

Post-Degree Experience and Supervision Form

Jurisprudence Examination Overview

Online Jurisprudence Examination


For Jurisprudence Examination resources, visit Laws, Rules and Policies.

License Expiration Grace Period for New Applicants. All new applicants who are issued a license within 120 days of the upcoming renewal expiration date will be issued a license with the subsequent expiration date. For example, licenses issued between May 1, 2013 and August 31, 2013 will reflect a license expiration date of August 31, 2015. Licenses issued prior to May 1, 2013 will reflect an expiration date of August 31, 2013 and must renew in the upcoming renewal period.

License Renewal Information. All Social Worker licenses expire on August 31 of odd-numbered years and must be renewed to continue practicing.



Test Accommodations

The Division of Professions and Occupations provides test accommodations to applicants with disabilities in accordance with the Americans with Disabilities Act of 1990 (ADA), including changes made by the ADA Amendments Act of 2008 (ADAAA). To submit a request for accommodations, please complete the Test Accommodations Request Form provided in the link below and return it and the documentation requested in Part II of the Form with your application materials.


Still have questions?

Please review our list of Frequently Asked Questions for quick answers and email information.


Stay Informed!

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(303) 894-7800 - Phone (303) 894-7693 - Fax