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C. APPLICATION REQUIREMENTS
The Wisconsin Department of Regulation and Licensing requires the following documents for
processing applications for a Licensed Clinical Social Worker (LCSW)
Application form #1992
Fee
Addendum (Social Security Number)
Certificate of professional education after graduation
Convictions and pending charges form
State jurisprudence exam
Transcript for master’s degree or higher degree program
Course descriptions
Information on Supervision
Supervised Clinical Field Training while in the MSW program (form #2561)
Documentation of post-graduate clinical experience sent by the person providing
supervision (form #2560).
Verification of Credential Form is out of state credential.
The current Wisconsin Department of Regulation and Licensing application.
Note the requirements for an LCSW on page 1 of the application.
Note the definitions relevant for an LCSW on page 2 of the application.
Note the national examination by Association of Social Worker Boards (ASWB) outlined on
page 3.
Note the supervision requirements on page 4.
IV. STATUTORY AUTHORITY
Wisconsin Statutes and Administrative Code relating to the practice of Marriage & Family
Therapy, Professional Counseling & Social Work.
Chapter 1. Authority and Practice
Chapter 2. Definitions for Practice of Social Work
Chapter 3. Application for Social Worker Certification or Licensure
Chapter 4. Supervised Pre-Certification and Pre-Licensure Social Work Practice
Chapter 5. Social Work Examinations
Chapter 6. Authorized Social Worker Practice
Chapter 8. Continuing Education
All Wisconsin Statutes and Administrative Codes are available on the Internet at the following
addresses:
Statutes: http://www.legis.state.wi.us/rsb/statutes.html
Rules: http:///www.legis.state.wi.us/rsb/cod/codtoc.html
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