California Licensed Clinical Social Worker Licensure Application
This document provides the necessary details for applicants seeking licensure as a Clinical Social Worker in California. It includes application instructions, checklist, and important information for a successful application. Follow the outlined steps to ensure complete submission and avoid delays.
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How do I fill this out?
To fill out this application, carefully review all provided instructions. Ensure that all required sections are completed and submitted as specified. Pay attention to any documentation required to avoid delays in processing.

How to fill out the California Licensed Clinical Social Worker Licensure Application?
1
Review all application instructions thoroughly.
2
Complete the application form in ink with your original signature.
3
Attach the appropriate application fee.
4
Gather all required documentation, including experience verification.
5
Submit your completed application to the Board's address.
Who needs the California Licensed Clinical Social Worker Licensure Application?
1
Recent graduates seeking to begin their careers in social work.
2
Licensed social workers from other states moving to California.
3
Military spouses wanting to maintain professional credentials.
4
Veterans looking to obtain licensure in California.
5
Individuals who have completed their supervised experience and are ready to apply.
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Our platform simplifies the editing of your PDF application. You can update, modify, and ensure all fields are accurate and completed. Use our tools to manage your application effectively before submission.
1
Open the PDF file in the PrintFriendly editor.
2
Use the editing tools to enter or modify your information.
3
Review all sections for accuracy and completeness.
4
Save the changes to your document.
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Download the finalized application ready for submission.

What are the instructions for submitting this form?
To submit your application for licensure, ensure that all sections are completed and signed. Include a check or money order for $250 made out to the Behavioral Sciences Fund with your application. Submit the entire package to the Board of Behavioral Sciences at 1625 North Market Blvd., Suite S200, Sacramento, CA 95834, or you may contact the Board for inquiries.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting the California Licensed Clinical Social Worker Application in 2024 and 2025 include the application receipt deadlines, which are critical for expediting your review process. Ensure to check the specific submission timelines to align with state regulations. Stay informed about ongoing updates on necessary forms and processes.

What is the purpose of this form?
The purpose of this application is to formalize the licensure process for Clinical Social Workers in California. It serves not just as a request for licensing, but also as a comprehensive checklist for all relevant prerequisites. By utilizing this form, applicants can streamline their journey to becoming a licensed professional in the state.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Information: Includes legal name, contact details, and demographic information.
- 2. Education Background: Details on your degree and institution from which it was obtained.
- 3. Supervised Experience Verification: Documentation confirming completion of required supervised hours.
- 4. Fees: Section to provide payment details for the application fee.
What happens if I fail to submit this form?
If you fail to submit this form, you will be unable to apply for licensure as a Clinical Social Worker in California. This could delay your career and limit your ability to offer professional services. Ensuring the application is completed and submitted accurately is essential.
- Delay in Licensure: Without submission, you will not be able to practice as a licensed social worker.
- Increased Processing Time: Incomplete submissions lead to longer review times and potential complications.
- Lost Documentation: Failure to submit on time may result in redoing parts of the application process.
How do I know when to use this form?

- 1. After Completing Required Hours: Use this form once you finish the required supervised post-degree hours.
- 2. Transitioning from an Out-of-State License: If you are moving to California and want to become licensed.
- 3. Starting Your Career: Recent graduates needing to secure their state license.
Frequently Asked Questions
What is this application for?
This application is for individuals seeking licensure as a Clinical Social Worker in California.
How do I know if I’m eligible to apply?
You are eligible if you have completed supervised experience or hold an Associate Registration in California.
Can I edit the PDF before submission?
Yes, our platform allows you to edit your document before finalizing it for submission.
Is there a fee to submit the application?
Yes, a fee of $250 is required with your application, payable to the Behavioral Sciences Fund.
How can I track my application status?
You can track your application status by mailing your application using a method that includes tracking.
What if I need to update my personal information?
You must submit a Notification of Name Change form if your legal name has changed since your last application.
How do I retrieve my application once submitted?
Once submitted, you will need to contact the Board directly for any retrieval requests.
What documents do I need to include?
You should include your completed application, a fee payment, and any required experience documentation.
Can I apply online?
Currently, submissions must be made via mail; an online application system is not available at this time.
What happens if my application is incomplete?
Incomplete applications may result in significant delays, so ensure all instructions are followed carefully.
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