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BOARD OF SOCIAL WORK","","Government of the District of Columbia Department of Health, Health Professional Licensing Administration, Board of Social Work, provides general instructions for submitting a new social work license application. Applicants must complete every section, include the original application and required supporting documents, and pay the applicable fees to process the application. The instructions cover attaching additional typed sheets for extra responses, the consequences of false or misleading statements, and contacting HPLA Customer Service. 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The fee must be included for processing.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What should applicants do if they need more space to answer questions?",{"text":117,"@type":113},"Attach additional sheets with typed responses to fully answer the questions.",{"name":119,"@type":110,"acceptedAnswer":120},"What are the consequences of providing false or misleading information?",{"text":121,"@type":113},"False or misleading statements may lead to disciplinary action and could also result in criminal prosecution under DC Code 22-2514.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},330768,1790179173,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52},1099523882367,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","| |\n| --- |\n|  |\n\nGovernment of the District of Columbia Department of Health  \nHealth Professional Licensing Administration  \nBOARD OF SOCIAL WORK  \nNEW LICENSE APPLICATION  \nGENERAL INSTRUCTIONS  \nAll applicants must complete every section of this application and submit the original application and all required supporting documents. The fee must be included for this application to be processed. If more space is needed to fully answer questions, attach additional sheets with typed responses. False or misleading statements will be cause for disciplinary action and could be cause for criminal prosecution pursuant to DC Code 22-2514. If you have any  \nquestions, call HPLA Customer Service at 1-877-672-2174, Monday through Friday, 8:30AM to 4:30PM EST.  \nPlease mark the type of license for which you are applying. TOTAL  \n Licensed Social Work Associate (LSWA) Examination $230  \n Licensed Social Work Associate (LSWA) Endorsement $230  \n Licensed Graduate Social Work (LGSW) Examination $230  \n Licensed Graduate Social Work (LGSW) Endorsement $230  \n Licensed Independent Social Work (LISW) Examination $230  \n Licensed Independent Social Work (LISW) Endorsement $230  \n Licensed Independent Clinical Social Work (LICSW) $230 Examination  \n Licensed Independent Clinical Social Work (LICSW) $230 Endorsement  \n Criminal Background Check-Call L-1 [Enrollment at](Enrollment at1-877-783-4187/ www.L1enrollment.com)[1-877-783-4187](Enrollment at1-877-783-4187/ www.L1enrollment.com)[/](Enrollment at1-877-783-4187/ www.L1enrollment.com)[ ](Enrollment at1-877-783-4187/ www.L1enrollment.com)[www.L1enrollment.com](Enrollment at1-877-783-4187/ www.L1enrollment.com)  \nRe-Examination (select one)  \nLSWA  LGSW LISW  \n Duplicate Licenses (limit 5) Total Enclosed  \nLICSW  \n X $34.00 =  \n$85  \n$  .00  \n$  .00  \n\n| Make check or money order payable to  DC Treasurer\u003Cbr>A charge of $65.00 will be imposed for dishonored checks\u003Cbr>(Public Law 89-208) |  |  |  |\n| --- | --- | --- | --- |\n| MAIL TO: |  |  |  |\n| D.C. Board of Social Work\u003Cbr>P.O. Box 37802\u003Cbr>Washington, D.C. 20013 |  |  |  |\n|  |  | HPLA ONLY |  |\n| Check $ Check \\# Staff |  |  |  |\n| $   .00 |  |  |  |\n\nSECTION 1. TYPE OF LICENSE  \nSECTION 2. APPLICANT NAME/DEMOGRAPHIC INFORMATION  \nEnter your name exactly as it should appear on the license. If your name has changed at any point since you first attended college or university, you must provide a copy of legal name change document for EACH time that it has changed. Acceptable documents are marriage certificates , divorce decrees or court orders. Complete Section 4 on page 2 of this application.  \nFIRST NAME MI LAST NAME SUFFIX  \n(Jr, Sr, etc. )  \nM M D D Y Y Y Y  \nSOCIAL SECURITY NUMBER DATE OF BIRTH  \nIf applicant does not provide a social security number, a sworn affidavit is required  \n| \u003Cbr>PLACE OF BIRTH\u003Cbr>Provide City and State for US birthplace or Country for foreign place of birth. |  |  |  |  |  |  |  |  |  Male  Female\u003Cbr>GENDER\u003Cbr>Please check the correct box. |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| SECTION 3A. HOME ADDRESS |  |  |  |  |  |  |  |  |  |\n| Even if you have a PO Box, a street address should also be provided, if applicable. |  |  |  |  |  |  |  |  |  |\n| | APARTMENT | | SUITE | | FLOOR | | PO BOX NUMBER | |  |\n| \u003Cbr>HOME STREET ADDRESS 1 (If applicable , use this line for additional building information. Otherwise , use this line to indicate STREET NUMBER and STREET NAME) |  |  |  |  |  |  |  |  |  |\n| \u003Cbr>HOME STREET ADDRESS 2 (If additional space is needed, use this line to indicate STREET NUMBER and STREET NAME) |  |  |  |  |  |  |  |  |  |\n| \u003Cbr>CITY |  |  |  |  |  |  |  |  |  |\n| \u003Cbr>STATE ZIP CODE + 4\u003Cbr>\u003Cbr>HOME PHONE NUMBER HOME FAX NUMBER E-MAIL ADDRESS |  |  |  |  |  |  |  |  |  |\n\n\n| SECTION 3B. BUSINESS ADDRESS |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Please note: This information will be made available to the publi","cbCaiaWILdysNWDR","https://ap.wps.com/l/cbCaiaWILdysNWDR","pdf",461957,"English","# NEW LICENSE APPLICATION\n## GENERAL INSTRUCTIONS\n## SECTION 1. TYPE OF LICENSE\n## SECTION 2. APPLICANT NAME/DEMOGRAPHIC INFORMATION\n## SECTION 3A. HOME ADDRESS\n## SECTION 3B. BUSINESS ADDRESS\n## SECTION 3C. PREFERRED MAILING ADDRESS\n## SECTION 4. PREVIOUS NAMES\n## SECTION 5. SUPPORTING DOCUMENTS","[{\"question\":\"What must applicants submit for a new social work license application to be processed?\",\"answer\":\"Applicants must complete every section and submit the original application plus all required supporting documents. The fee must be included for processing.\"},{\"question\":\"What should applicants do if they need more space to answer questions?\",\"answer\":\"Attach additional sheets with typed responses to fully answer the questions.\"},{\"question\":\"What are the consequences of providing false or misleading information?\",\"answer\":\"False or misleading statements may lead to disciplinary action and could also result in criminal prosecution under DC Code 22-2514.\"}]","NEW LICENSE APPLICATION - GENERAL INSTRUCTIONS - D.C. BOARD OF SOCIAL WORK | PDF",1789989997]