REGULATIONS
Vol. 27 Iss. 25 - August 15, 2011

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

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

Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, FAX (804) 524-4434, or email elaine.yeatts@dhp.virginia.gov.

NOTICE: The following forms used in administering the regulation were 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 to access a form. The forms are also available through the agency contact or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.

FORMS (18VAC140-20)

Instructions and Application for Registration of Supervision Post-Graduate Degree Supervised Experience for LCSW (rev. 10/10).

Instructions and Application for Registration of Supervision Post-Graduate Degree Supervised Experience for LCSW (rev. 6/11).

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

Clinical Social Worker Licensure Application (rev. 8/08).

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

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

Verification of Clinical Supervision (rev. 1/11).

Verification of Supervised Field Placement/Practicum (rev. 6/11).

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

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

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

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

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

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

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

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

General Information for Licensure by Examination as a Clinical Social Worker and Application Instructions (rev. 4/11).

General Information for Licensure by Endorsement as a Clinical Social Worker and Application Instructions (rev. 4/11).

Instructions for Registration of Supervision for LSW (rev. 9/09).

Application for Registration of Supervision - Post-Bachelor's Degree Supervised Experience for LSW (rev. 9/09).

Clinical Social Worker Reinstatement Application (rev. 4/08).

Social Work Reinstatement Application (rev. 4/08).

Clinical Social Worker Licensure Application - Reinstatement Following Disciplinary Action (rev. 4/08).

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

VA.R. Doc. No. R11-2944; Filed July 27, 2011, 1:48 p.m.