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Forms and Publications

The following forms and publications are in Adobe's PDF format and requires Adobe Acrobat Reader. If you need adobe acrobat, click on the icon below and follow the instructions for a free copy of the software.

Most of our forms are "pdf enhanced" or "fillable" so they can be filled out online. Select the "hand" tool from the Acrobat Reader tool bar. Move it to the first blank field or line and the hand will change to a cursor. Type your entry, then tab to the next space and type your information.

You must hit either the tab key or the enter key after typing in each blank on the form, or your entry won't be accepted and the information you typed won't print. To use check boxes, move the hand tool over the box and when hand becomes an arrow or finger, click once to mark box. Clicking again will remove mark. Print the form (click on the printer icon on the Adobe Acrobat Reader toolbar or use your Internet browser's print command), sign it, and mail it to the Board office.

CONSUMER FORMS AND MATERIAL

• Consumer Complaint Form and Authorization Release – PDF Document
• Online Complaint Form
• Citizen Comment/Complaint Form – This form is used for complaints about the Board
• Disciplinary Guidelines
• Self-Empowerment - Choosing a Mental Health Professional in California
  • Text Only pdf
  • Spanish Version
  • Korean Version
• Professional Therapy Never Includes Sex
  • Text only pdf
  • Spanish Version
• Request for License Certification

APPLICATION PACKAGES / REGISTRANT and EXAM MATERIALS

MFT / MFT Intern/Trainee

NOTE: Senate Bill 33, recently signed by Governor Schwarzenegger, makes a number of changes to MFT supervised experience requirements for hours earned on or after January 1, 2010.

Staff is working on the various forms and publications to incorporate those changes, which we expect to be available soon.

In the meantime, information related to the changes are provided on the MFT License Requrements Information page.

PLEASE NOTE: Documents indicated with a "new" icon below are not yet completely "pdf enhanced or fillable". We anticipate this feature being available soon. In the meantime, you can print the document and fill it out manually. As these are "pdf enhanced and fillable", it will be noted as such next to the document.

• MFT Intern Registration Application Packet -
• MFT Examination Eligibility Application Packet -

• MFT Experience Verification - (Form 37A-301) For Hours Gained BEFORE January 1, 2010
• MFT Experience Verification - (Form 37A-301a) For Hours Gained ON or AFTER January 1, 2010
• MFT Weekly Summary of Hours of Experience - (Form 37A-524) For Hours Gained BEFORE January 1, 2010
• MFT Weekly Summary of Hours of Experience - (Form 37A-524a) For Hours Gained ON or AFTER January 1, 2010
• MFT Supervisor Responsibility Statement
• Answers to Most Frequently Asked Questions Relating to MFT Trainees and Interns
• A Guide to Supervision for MFT Interns and Trainees
• MFT Student Handbook

• MFT Examination Study Guide
  • Text only pdf
• MFT Standard Written Examination Candidate Handbook
• MFT Written Clinical Vignette Examination Candidate Handbook
• MFT Request for Examination/Re-Exam Application

LCSW / ASW

• ASW Registration Application Packet
• LCSW Examination Eligibility Application Packet
• Clinical Social Worker Experience Verification
• Supervisory Plan
• LCSW Supervisor Responsibility Statement
• ASW Weekly Log

• Answers to Most Frequently Asked Questions Relating to ASWs
• A Guide to Supervision for ASWs
• LCSW Student Handbook

• LCSW Examination Study Guide
  • Text only pdf
• LCSW Standard Written Examination Candidate Handbook
• LCSW Written Clinical Vignette Examination Candidate Handbook
• LCSW Request for Examination/Re-Exam Application

LEP

• LEP Examination Eligibility Application Packet

• LEP Examination Handbook
• LEP Request for Re-Exam Application

EXAMINATION FORMS AND INFORMATION

• Request for Accommodation of Disabilities Package
• Request for Accommodation – English as a Second Language
• Request for Re-scoring of Examination Results
• Examination Information Brochure

RENEWAL AND FEE RELATED DOCUMENTS

• Manual License Renewal Application
• Manual Registration Renewal Application
• Inactive to Active License Status Change

• Change of Address
• Name Change
• Request for Replacement License or Registration Document

CONTINUING EDUCATION

• CE and License Renewal Information Brochure
• Request for Continuing Education Exemption
• CE Provider List
• Web Based CE Provider List
• CE Provider Application
• Manual CE Provider Renewal Application

SUBJECT MATTER EXPERT MATERIAL

• MFT and LCSW Subject Matter Expert Application
• LEP Subject Matter Expert Application

BBS NEWSLETTERS

• Winter 2009
  • Text only pdf
• Winter 2008
  • Text only pdf
• Summer 2007
  • Text only pdf
• Fall 2006
  • Text only pdf
• Spring 2006
  • Text only pdf
• Winter 2005
  • Text only pdf
• Fall 2005
  • Text only pdf
• Winter 2004
  • Text only pdf
• Spring 2003
  • Text only pdf
• Fall 2002
  • Text only pdf
• Spring 2002
  • Text only pdf
• Summer 2001
  • Text only pdf
• Winter 2000
  • Text only pdf
• Summer 2000
  • Text only pdf
• Fall/Winter 1999/2000
  • Text only pdf

MISCELLANEOUS

• Advertising Guidelines
• Applicant Live Scan form
• BBS Statutes and Regulations
• DCA One Stop Search
• MFT Educators Bibliography
• MFT Referral Services Application

• 1997 Sunset Review Report
• 2004 Sunset Review Report
• 2004 Strategic Plan
• 2005 Strategic Plan
• 2007 Strategic Plan

• Section 801, 802 – Report of Settlement, Judgment, or Arbitration Awards
• Section 803 – Reporting Requirements for Court Clerks
• Section 805 – Health Facility Reporting Form

Updated: January 4, 2010