These forms are for marriage and family therapy licensure only. Many of these forms may now be submitted via email to info@swmft.ms.gov .

Application for AMFTRB Exam

LMFTA Application for Licensure

LMFT Application for Licensure

LMFT Endorsement Application 

Request for Fingerprint Card - ALL LMFT and LMFTA Applicants must complete this form.

License Verification Request

Name Change

Change of Employment

Verification of Post-Degree Experience in MFT

Professional Reference Form

Verification of MFT Licensure

Universal Recognition Affidavit

Documentation of Supervision 

MFT Supervision Forms Packet

Contract for LMFT Supervision Application

MFT Supervisee Evaluation Form

MFT Supervisee Evaluation & Termination of Supervision Form

LMFTA Renewal Form

LMFT Renewal Form

MFT Continuing Education Report

MFT Reinstatement Form

Inactive Status Request

Waiver/Extension Request

Supervisor's Approval Application

Supervisor Statement

Request for Reconsideration of Board Action Form

Supervised Self-Directed Learning Group Approval 

CE Sponsor Application for Approval/Renewal

Approved Sponsor Application for Individual Program

Application for Individual Program for Non-Approved CE Providers