The forms listed here are for social work licensure only. All forms may now be submitted via email to info@swmft.ms.gov (kdixon@swmft.ms.gov for Supervision Documents). The Fingerprint Card cannot be scanned or faxed, it must be mailed to PO Box 4508, Jackson, MS 39296.

FOR TESTING APPLICANTS: PLEASE BE SURE YOU APPLY WITH THE NAME THAT IS ON YOUR DRIVER'S LICENSE.

 

NEW APPLICANT DOCUMENTS
 

THIS IS THE INITIAL APPLICATION PORTAL, CLICK and APPLY HERE TO GET STARTED     
DO NOT SUBMIT ANOTHER APPLICATION IF WE ALREADY HAVE A CURRENT ONE ON FILE FOR YOU. If you need to retest, go back to ASWB portal to reapply for the test. See the checklist below also after you pass your test. 

APPLICATION PORTAL INSTRUCTIONS: Please click HERE for a PDF screenshot of the steps inside the portal. 

Upgrading from LSW to LMSW / LMSW to LCSW <-- Information Only

Student Application Form, Instructions, and Checklist <----- for CSWE Senior students 

Initial Application Instructions and Checklist - <---- applying by examination

Reciprocity Application Instructions and Checklist <---- for applicants licensed in other states

Reinstatement Application Instructions and Checklist If your licensed has lapsed for more than 4 years, you must reapply as a new applicant. Please note that all fees are nonrefundable. 

CLICK HERE for Complete Instructions and Checklist for Applying 

NEW APPLICANT AND CURRENT LICENSEE DOCUMENTS
 

Request for Fingerprint Card Form

Out-of-state License Verification (for Reciprocal applicants only)

License Verification Request (for MS licensees only)

Universal Recognition Affidavit - This form cannot be completed until you have been licensed out-of-state for one year.

Name Change

Verification of Education Form

Request for Reconsideration of Board Action Form

 

CURRENT LICENSEE DOCUMENTS
 

License Renewal Form 

Continuing Education Report

BALCSWS CE Form - Board Approved LCSW Supervisors 

BALCSWS CE Form - LMSWs in Supervision

Field Instructor CE Form

Inactive Status Request Form

Affidavit of Retirement Form

Request for Waiver/Extension of Continuing Education

 

SUPERVISION DOCUMENTS
 

Informative Guides and Resources

Quickstep Guide Through the Supervision Process

A Guide to Supervision for Licensed Master Social Workers

Board Approved LCSW Supervisors

FORMS

Application for Contract for LCSW Supervision

Change of Employment (for Supervision purposes when changing employment during supervision)

4th Evaluation Supervision Packet <--The Initial Application is now submitted via Online Portal

Supervision Evaluation Form

Supervisory Documentation Log

Termination of Supervision

Face to Face Client Contact Verification

LCSW Professional Reference Form

LCSW Supervisor Application Packet

Supervisor Evaluation Scale