Get La Sbep Temporary Registration 2007-2025

This guide provides clear and comprehensive instructions on how to complete the LA SBEP Temporary Registration online. By following these steps, you can ensure that your registration process is smooth and efficient.

Follow the steps to successfully complete your registration.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editing platform.
2. In Part I, General Information, enter your full name, including last, first, middle, and suffix. Additionally, provide your maiden name or alias, social security number, date and place of birth, and contact numbers. Fill in your home and business addresses, ensuring accuracy.
3. Also in Part I, input your email address and ensure it is a valid one so you can receive confirmation and communications.
4. In Part II, License History, indicate the state where you hold a license to practice psychology. Enter the original issue date, expiration date, license number, and your area of practice. Confirm whether you currently reside in the state of licensing.
5. Attach a copy of your current and unrestricted license to practice in the state as required.
6. In Part III, Dates and Location of Practice in Louisiana, specify the start and end dates of your temporary practice, ensuring it does not exceed the allowable period.
7. Provide the name and address of the organization through which you are offering services, and attach documentation of your affiliation with that organization.
8. Fill in the temporary practice location details, including contact information for the local practice.
9. Describe the specific psychological duties you will perform during your temporary practice and specify whether you will receive payment for your services.
10. In Part IV, Attestation, Identification, and Affidavit, answer all questions truthfully. Attach additional documentation if you answer ‘yes’ to any of the questions.
11. Ensure to attach your passport-sized photo and a form of photo identification as outlined.
12. Sign the affidavit confirming the accuracy of all information provided and the conditions of the registration.
13. After completing the form, save your changes and download or print your registration. Make sure to share it or submit it through the appropriate channels.

Complete your LA SBEP Temporary Registration online today for a seamless application process.