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Application for Licensure As A Social Worker (LSW)  \n2. Information and Instruction Sheet  \n3. Criminal Background Check Information  \n3. Statutes and Administrative Rules which pertain to the Behavioral Health and Human Service Licensing Board  \nIPLA ADDRESS/TELEPHONE NUMBER/EMAIL/WEBSITE  \nIndiana Professional Licensing Agency  \n402 West Washington Street, Room W072  \nIndianapolis, Indiana 46204  \nStaff Phone: (317) 234-2054  \nStaff Email:  [pla8@pla.IN.gov](pla8@pla.IN.gov)  \nWebsite: [www.pla.IN.gov](www.pla.IN.gov)  \nONLINE APPLICATION TRACKING  \nOnce your application has been received you may track the progress of your application online at [https://mylicense.in.gov/eGov/](https://mylicense.in.gov/eGov/. Create your)[. Create your](https://mylicense.in.gov/eGov/. Create your) login credentials using the Register a Person link.  \nCRIMINAL BACKGROUND CHECK REQUIRED  \nAn individual applying for a social work license shall submit to a national criminal history background check at the cost of the individual. Please follow the step-by-step directions on how to complete the fingerprinting process in order to process your criminal background check at [http://www.in.gov/pla/3241.htm](http://www.in.gov/pla/3241.htm).  \nCriminal background checks must be obtained after you apply for your social work license with the Board and prior to the issuance of a license. An email will be sent to you upon the receipt of your application by our office explaining that you are eligible to complete your criminal background check.  \nWHAT IF I RESPOND “YES” TO ONE OF THE QUESTIONS ON THE APPLICATION?  \nPlease read the questions on the application very carefully. If you need to respond “yes” please submit a notarized affidavit of the incident (such as the date, where it occurred, what happened, the charge and the outcome of the incident) and any court documents. Based upon your response, you may be required to make a personal appearance before the Board. Please note that an appearance before the Board may delay your license or being approved for the examination.  \nWHAT IF I RESPOND “NO” TO ONE OF THE QUESTIONS AND THE CRIMINAL BACKGROUND CHECK REVEALS SOMETHING?  \nPlease read the questions on the application very carefully. You will be notified of such and will be required to submit the required documents and explain why you failed to respond yes to the question. Also you may be required to appear before the Board. Please note that an appearance before the Board may delay your license or being approved for the examination.  \nTHE FAIR INFORMATION PRACTICE ACT  \nIn compliance with Ind. Code 4-1-6, this agency is notifying you that you must provide the requested information or your application will not be processed. You have the right to challenge, correct, or explain information maintained by this agency. The information you provide will become public record. Your examination scores and grade transcripts are confidential except in circumstances where their release is required by law, in which case you will be notified.  \nMANDATORY DISCLOSURE OF U.S. SOCIAL SECURITY NUMBER  \nYour social security number is being requested by this state agency in accordance with Ind. Code 4-1-8-1 and Ind. Code 25-1-5- 11(a) . Disclosure is mandatory, and this record cannot be processed without it.  \nFailure to disclose your [U.S. social](U.S. social) security number will result in the denial of your application. Application fees are not refundable. ","cbCaigaNB6EnJpD8","https://ap.wps.com/l/cbCaigaNB6EnJpD8","pdf",774333,"English","# Documents to download\n## Online application tracking\n# Criminal background check required\n# Application question responses (YES/NO)\n# Legal and privacy notices\n## Fair Information Practice Act\n## Mandatory disclosure of U.S. social security number\n# Application review and examination requirement\n## Examination requirement (ASWB Masters Level)\n## Testing accommodation request","[{\"question\":\"What documents must applicants download before submitting an LSW application?\",\"answer\":\"Applicants must download the application for licensure as a social worker (LSW), the information and instruction sheet, the criminal background check information, and the statutes and administrative rules pertaining to the board.\"},{\"question\":\"When is the criminal background check required, and how is it completed?\",\"answer\":\"The check must be obtained after the application is submitted and before a license is issued. Applicants follow step-by-step fingerprinting directions and are emailed once the application is received and they are eligible to complete the background check.\"},{\"question\":\"What are the examination requirements after Board approval?\",\"answer\":\"The Board requires the ASWB Masters Level examination in computer format via ASWB and its contracted service. Approved candidates must take the exam within one year of initial Board approval, and after passing, results are released to the board for processing.\"}]","Licensed Social Worker (LSW) Application for Licensure by Examination - Information and Instructions | PDF",1789980512,18]