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It provides application mailing details, licensing renewal timing rules, examination eligibility requirements, and contact information. It also outlines key application data fields such as personal details, SSN or passport evidence, addresses, and mandatory “Good Standing” declarations for child support, taxes, and court fines.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/application-for-licensure-as-a-clinical-social-worker-instructions-for-applicants-applying-for-licensure-as-a-clinical-social-worker/330650/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/application-for-licensure-as-a-clinical-social-worker-instructions-for-applicants-applying-for-licensure-as-a-clinical-social-worker/330650.png","ImageObject",300,407,{"name":42,"@type":43},"Riley West","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-22","2026-09-21",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What must all applicants submit for clinical social worker licensure in Vermont?","Question",{"text":63,"@type":64},"All applicants must submit a completed application (pages 1, 2, and 3) and a non-refundable application fee of $100 payable to the Vermont Secretary of State.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What additional documents are required for examination applicants?",{"text":68,"@type":64},"Examination applicants must also provide “Verification of Social Work Education,” a “Report of Supervision,” and examination scores submitted directly from ASWB to the office.",{"name":70,"@type":61,"acceptedAnswer":71},"How do “Good Standing” declarations work for child support, taxes, and court fines?",{"text":72,"@type":64},"Applicants must check the appropriate boxes based on their compliance status. The document defines “good standing” for child support, taxes due, and court judgments and notes that related agencies must report compliance before a license may be issued.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},330650,1790535368,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":123,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144},1099523885074,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Vermont Secretary of State  \nOffice of Professional Regulation  \nInstructions for Applicants Applying for Licensure  \nas a Clinical Social Worker  \nCompleted Application Must Include:  \n1. All Applicants Must Submit:  \n􀀟 * Completed Application (Pages 1, 2, and 3); and  \n􀀟 * Application Fee of $100.00 (Non-refundable: Payable to Vermont Secretary of State)  \n2. Examination Applicants, in addition to 1 above, Must Also Provide:  \n􀀟 * “Verification of Social Work Education”  \n􀀟 * “Report of Supervision”  \n􀀟 * Examination Scores-Submitted directly from ASWB to this Office  \n3. Endorsement Applicants, in addition to 1 above, Must Also Provide:  \n* \"Verification of Licensure/Certification\"  \nCompleted Application must be mailed or delivered to:  \nAddress: Office of Professional Regulation Social Workers, 89 Main Street, 3rd Floor, Montpelier, VT 05620-3402.  \nPhone: 802-828-2390-E-mail: [dlafaill@sec.state.vt.us](dlafaill@sec.state.vt.us)  \nImportant Information:  \n􀀟 * All licenses renew on a fixed 24 month schedule. Your initial license may be for less than 24 months. All licenses expire on January 31 of the even numbered years. Applicants issued an initial license more than 90 days prior to the renewal date will be required to renew and pay the renewal fee. Initial licenses issued within 90 days of the renewal date will not be required to renew.  \n􀀟 * Eligibility to sit for the examination. You may sit for the exam once you have received your master’s degree in social work and have been approved by this Office. You need to submit the first 3 pages of the application, application fee and have verification of education submitted directly from the school to this Office. Once this has been received you may contact ASWB directly to schedule an appointment to sit for the ASWB Clinical Examination. ASWB can be reached at 1-888-579-3926.  \nVermont Secretary of State Office of Professional Regulation  \n89 Main Street, 3rd Floor Montpelier VT 05620-3402  \nDiane Lafaille  \nLicensing Board Specialist  \n(802) 828-1505 [dlafaill@sec.state.vt.us](dlafaill@sec.state.vt.us)  \n[www.vtprofessionals.org](www.vtprofessionals.org)  \nApplication for Licensure as a Clinical Social Worker  \nApplying on the basis of:   Examination   Licensed in another state (Endorsement)  \n(Use Ink or Typewritten only)  \n\n| First Name (Legal name no nicknames) | MI | Last Name & Title (Jr., Sr., II, III, etc.) |\n| --- | --- | --- |\n|  |  |  |\n| Previous Name(s) (Maiden) |  |  |\n\nSocial Security Number:  / /  ** (Providing your social security number (SSN) is mandatory, and requested under the authority granted by 42 U. S. C. §405(c)(2)(C). It will be used by the Departments of Taxes, Child Support, and the Department of Labor in the administration of Vermont law, to identify individuals affected by such laws. Your SSN is not disclosed as part of a public records request);  \nOR  \nPassport Number:   *** (If you do not have a social security number you must provide a passport number as evidence that there is no attempt to procure a license fraudulently (3 V. S.A. §129a)  \n\n| Mailing Address: | P.O. Box |  |\n| --- | --- | --- |\n|  | Street/Apt \\# |  |\n|  | City/State/Zip |  |\n|  | Country |  |\n\n\n| \u003Cbr>\u003Cbr>911 Address:(if different than mailing) | P.O. Box |  |\n| --- | --- | --- |\n|  | Street/Apt \\# |  |\n|  | City/State/Zip |  |\n\n\n| Phone: | ( ) - | Cell Phone: |  | ( ) - |\n| --- | --- | --- | --- | --- |\n| Fax: | ( ) - | E-Mail: |  |  |\n| Date of Birth |  |  | Gender: (Circle One) |  |\n|  |  |  | Female Male |  |\n\n\n| Social Work Education – Name and Location\u003Cbr>(City/State) of college/university | Date of Graduation/Degree Granted |\n| --- | --- |\n|  |  |\n\n\n|  List below every state in which you now hold, or have ever held, a license/certification to practice  |  |  |  |\n| --- | --- | --- | --- |\n| STATE | LICENSE \\# | DATE ISSUED | DATE EXPIRES(D) |\n|  |  |  |  |\n|  |  |  |  |\n\nVermont Mandatory “Good Standing” Declarations  \nSection B: Vermont Mandatory “Good Standing” Decl","cbCaifVp7vZph0nU","https://ap.wps.com/l/cbCaifVp7vZph0nU","pdf",359503,"English","# Instructions for Applicants Applying for Licensure as a Clinical Social Worker\n## Completed Application Must Include\n## Examination Applicants Additional Requirements\n## Endorsement Applicants Additional Requirements\n## Renewal and Expiration Information\n## Eligibility to Sit for the Examination\n## Application Form: Required Applicant Information\n## Social Security Number or Passport Number Evidence\n## Vermont Mandatory “Good Standing” Declarations\n### Child Support\n### Taxes\n### District Court Fines / Judicial Bureau","[{\"question\":\"What must all applicants submit for clinical social worker licensure in Vermont?\",\"answer\":\"All applicants must submit a completed application (pages 1, 2, and 3) and a non-refundable application fee of $100 payable to the Vermont Secretary of State.\"},{\"question\":\"What additional documents are required for examination applicants?\",\"answer\":\"Examination applicants must also provide “Verification of Social Work Education,” a “Report of Supervision,” and examination scores submitted directly from ASWB to the office.\"},{\"question\":\"How do “Good Standing” declarations work for child support, taxes, and court fines?\",\"answer\":\"Applicants must check the appropriate boxes based on their compliance status. The document defines “good standing” for child support, taxes due, and court judgments and notes that related agencies must report compliance before a license may be issued.\"}]","Application for Licensure as a Clinical Social Worker - Instructions for Applicants Applying for Licensure as a Clinical Social Worker | PDF",1789989642,25]