South Dakota Board of Social Work Examiners
Forms

We believe it is in your best interest to request that an application packet be mailed to you from the Board office. If you choose to download your application you must download the basic following forms. Prior to downloading any forms the Board advises you to read the Law, Rules and Regulations. In order to view, print or download these forms, you must have the free ADOBE Acrobat Reader for Windows, DOS or for Macintosh. You can download the Acrobat Reader for free if you do not yet have it installed on your computer. After you have downloaded the reader, you need to install it. Double click on the file that you downloaded and the software will install itself.

Social Work Associate (SWA) Social Worker (SW) Certified Social Worker (CSW)

• Laws, Rules and Regulations
• Instructions/Checklist Sheet
• Application for Licensure
• Application for Licensure Cover Letter
• Verification of Licensure in Other State (if applicable)

In State Certified Social Worker-Private Independent Practice (CSW-PIP)

• Laws, Rules and Regulations
• Instructions/Checklist Sheet
• Application for Licensure
• Completion or Termination of Supervision
• Evaluation Form for Supervision of CSW-PIP Candidate
• Release and Waiver for Supervisors

Out of State Certified Social Worker-Private Independent Practice (CSW-PIP)

• Laws, Rules and Regulations
• Instructions/Checklist Sheet
• Application for Licensure
• Verification of Out of State Experience Form for Licensure as a CSW-PIP
• Release and Waiver for Supervisor
• Verification of Licensure in Other State

Forms/links Below:

(Association of Social Work Board) (http://www.aswb.org)

ADA Forms (http://www.aswb.org)

Application for Licensure

Verification of Licensure in Other State

Validation of Continuing Education Obtained Out of State

CEU Prior Approval Form

Completion or Termination of Supervision

Continuing Education

Evaluation Form for Supervision of CSW-PIP Candidate

Required Supervision Validation to Meet Social Work Associate Licensing

Verification of Out of State Experience Form for Licensure as a CSW-PIP

Release and Waiver for Supervisor

Instruction Checklist Sheet

Application for Relicensure

Contract for Supervision CSW-PIP Licensure

Application for Licensure Cover Letter