Overview:

The Provisional License Compliance Verification Form (due in July of each year from temporary licensees) has been combined so that one form may be used by all applicable license holders. This form must be faxed or mailed to the Board of Social Work Examiners during the month of July or as soon thereafter as possible.

To file a Provisional License Compliance Verification:

Download, complete, and return the form listed below.

Provisional License Compliance Verification Form (PDF)

Completed applications must be mailed or faxed to the Board office:

WV Board of Social Work
PO Box 5459
Charleston, WV 25361

Fax: (304) 400-4976