REGULATIONS
Vol. 25 Iss. 1 - September 15, 2008

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF SOCIAL WORK
Chapter 20
Forms

NOTICE: The following forms have been filed by the Board of Social Services. The forms are available for public inspection at the Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, Virginia 23233, or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219. Copies of the forms may be obtained from Elaine Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, or email elaine.yeatts@dhp.virginia.gov.

Title of Regulation: 18VAC140-20. Regulations Governing the Practice of Social Work.

FORMS (18VAC140-20)

Registration of Supervision Post-Graduate Degree Supervised Experience (rev. 12/02 8/07).

Social Worker Licensure Application (rev. 12/02 8/07).

Clinical Social Worker Licensure Application (rev 12/02 8/07).

Verification of Clinical Supervision (rev. 12/02 8/07).

Verification of Casework Management and Supportive Services (rev. 12/02 8/07).

Renewal Notice and Application (rev. 12/02).

Out of State Licensure Verification (rev. 12/02 8/07).

Licensure Verification of Out-of-State Supervisor (rev. 12/02 8/07).

Form for Reporting Social Work Attendance at Formal Staffing (rev. 12/02 8/07).

Form for Reporting Social Work Independent Study (rev. 12/02 8/07).

General Information for Licensure by Examination as a Licensed Social Worker, with Application Instructions (rev. 12/02 8/07).

General Information for Licensure by Endorsement as a Licensed Social Worker, with Application Instructions (rev. 12/02 8/07).

General Information for Licensure by Examination as a Clinical Social Worker, with Application Instructions (rev. 12/02 8/07).

General Information for Licensure by Endorsement as a Clinical Social Worker, with Application Instructions (rev. 12/02 8/07).

Registration of Supervision Instructions (rev. 12/02 8/07).

Clinical Social Worker Reinstatement Application (rev. 8/07).

Social Work Reinstatement Application (rev. 8/07).

Clinical Social Worker Licensure Application - Reinstatement Following Disciplinary Action (rev. 8/07).

Continuing Education Summary Form (rev. 8/07).

VA.R. Doc. No. R09-1579; Filed August 27, 2008, 11:59 a.m.