Kentucky Board of Social WorkApplications & Forms
Application Information
Application for Licensure – Word
Application for Licensure – PDF
Temporary Permit Agreement Form– Case Management Only – Word
Temporary Permit Agreement Form - Case Management Only – PDF
Temporary Permit Agreement Form– Clinical Practice – Word
Temporary Permit Agreement Form– Clinical Practice – PDF
Supervision Contract Instructions
Contract for Clinical Social Work Supervision – Word
Contract for Clinical Social Work Supervision – PDF
Supervised Experience Documentation Form – Word
Supervised Experience Documentation Form – PDF
LSW - Licensed Social Worker Renewal Form –
CSW – Certified Social Worker Renewal Form –
LCSW – Licensed Clinical Social Worker Renewal Form
Name/Address Change Form - Word
Name/Address Change Form – PDF
Complaint Form – Word
Complaint Form – PDF
Continuing Education Approval Form - Word – Word
Continuing Education Approval Form – PDF