REGULATIONS
Vol. 37 Iss. 13 - February 15, 2021

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF PSYCHOLOGY
Chapter 30
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Title of Regulation: 18VAC125-30. Regulations Governing the Certification of Sex Offender Treatment Providers.

Agency Contact: Elaine Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Henrico, VA 23233, telephone (804) 367-4688, FAX (804) 527-4434, or email elaine.yeatts@dhp.virginia.gov.

FORMS (18VAC125-30)

General Information for Certification as a Sex Offender Treatment Provider (rev. 4/09).

Application for Certification as a Sex Offender Treatment Provider, Form 1 (rev. 8/07).

Licensure or Certification Verification of Applicant, SOTP Form 2 (rev. 8/07).

Sex Offender Treatment Provider, Verification of Supervision, SOTP Form 3 (rev. 4/09).

Licensure Verification of Out-of-State Supervisor, SOTP Form 4 (rev. 8/07).

Registration of Supervision Instructions (rev. 4/09).

Registration of Supervision, Post-Graduate Degree Supervised Experience, Form 5 (rev. 8/07).

Application for Reinstatement of Certification as a Sex Offender Treatment Provider (rev. 8/07).

Application Instructions for Certification as a Sex Offender Treatment Provider (rev. 12/2020)

Applicant Out-of-State Licensure Verification (rev. 12/2020)

Verification of Post-Degree Supervision (rev. 12/2020)

Verification of Training (rev. 12/2020)

Applicant Out-of-State Supervisor Licensure Verification (rev. 12/2020)

Application Instructions for Initial Registration of Supervision for Sex Offender Treatment Providers (rev. 12/2020)

Application Instructions for Add/Change Registration of Supervision for Sex Offender Treatment Providers (rev. 12/2020)

Reinstatement Instructions for Certification of Sex Offender Treatment Providers (rev. 12/2020)

VA.R. Doc. No. R21-6669; Filed January 24, 2021