SOCIAL WORK FORMS and LICENSING INFORMATION | Mississippi Board of Examiners for Social Workers and Marriage and Family Therapists

The forms listed here are for social work licensure only. All forms may now be submitted via email to info@swmft.ms.gov (kdixon@swmft.ms.gov for Supervision Documents). The Fingerprint Card cannot be scanned or faxed, it must be mailed to PO Box 4508, Jackson, MS 39296.

FOR TESTING APPLICANTS: PLEASE BE SURE YOU APPLY WITH THE NAME THAT IS ON YOUR DRIVER'S LICENSE.

NEW APPLICANT DOCUMENTS

THIS IS THE INITIAL APPLICATION PORTAL, CLICK and APPLY HERE TO GET STARTED - Microsoft Edge and Mozilla Firefox are the best browsers to use.

DO NOT SUBMIT ANOTHER APPLICATION IF WE ALREADY HAVE A CURRENT ONE ON FILE FOR YOU. If you need to retest, go back to ASWB portal to reapply for the test. Be sure to print a copy of the checklist below to follow what you have submitted and what you need to submit.

APPLICATION PORTAL INSTRUCTIONS: Please click HERE for a PDF screenshot of the steps inside the portal.

Upgrading from LSW to LMSW / LMSW to LCSW <-- Information Only

Student Application Form, Instructions, and Checklist <----- for CSWE Senior students

Initial Application Instructions and Checklist - <---- applying by examination

Reciprocity Application Instructions and Checklist <---- for applicants licensed in other states. Please ensure you have a passing ASWB exam score. If applying under UROLA per Miss. Code Ann. § 73-50-2 (3) a license shall be issued at the same practice level. Please ensure that you are applying for the proper licensure level. UROLA APPLICANTS: Review the scope of practice afforded to you by your current license to ensure you are applying for the appropriate license in Mississippi. Applications for licensure beyond your current scope may be denied.

Reinstatement Application Instructions and Checklist If your license has lapsed for more than 4 years, you must reapply as a new applicant. Please note that all fees are nonrefundable.

CLICK HERE for Complete Instructions and Checklist for Applying

NEW APPLICANT AND CURRENT LICENSEE DOCUMENTS

Request for Fingerprint Card Form

Out-of-state License Verification (for Reciprocal applicants only)

License Verification Request (for MS licensees only)

Universal Recognition Affidavit - This form cannot be completed until you have been licensed out-of-state for one year. UROLA APPLICANTS: Review the scope of practice afforded to you by your current license to ensure you are applying for the appropriate license in Mississippi. Applications for licensure beyond your current scope may be denied.

Name Change

Verification of Education Form

Request for Reconsideration of Board Action Form