Get Application - Department Of Health - Ri.gov

Filling out the Application for License as a Licensed Clinical Social Worker or Licensed Independent Clinical Social Worker through the Department of Health is a crucial step in your professional journey. This guide will provide you with clear, step-by-step instructions to successfully complete the online application process.

Follow the steps to effectively complete your application online.

1. Press the ‘Get Form’ button to obtain the application and open it in your editor.
2. Begin by filling out your personal information, including your full name, social security number, and date of birth. Ensure all entries are clear and accurate.
3. Indicate the preferred mailing address by selecting either your home address or business address.
4. Fill in the qualifying education section, listing the accredited school you attended. Include your degree and graduation date, along with confirmation of accreditation.
5. Respond to questions regarding any previous or current licenses held in other states. Make sure to provide comprehensive details for each state.
6. Address the criminal convictions and disciplinary questions accurately. If applicable, provide detailed explanations.
7. Complete the affidavit section in the presence of a notary public, and ensure your photograph is securely attached in the designated area.
8. Prepare the payment for the application fee and attach it to the upper left-hand corner of the first page of your application.
9. Compile all required supporting documents as listed in the application checklist. This includes transcripts, reference forms, and any additional requested materials.
10. Submit the completed application and all enclosures to the appropriate department address as indicated on the form.

Complete your application online today to take the next step in your career.