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BOPC : forms

Board of Professional Counselors

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Alcohol & Drug Trainee Applications

Alcohol Drug Trainee Application  AD#1        
  Pre-Application Credentials Evaluation for Trainee     AD#2        
  Alcohol & Drug Trainee Extension Request Form       AD#3        
  Alcohol Drug Trainee Supervisor Information           AD#4         

 Alcohol & Drug Applications

  Alcohol and Drug CSC-AD Application   AD#5        
  Alcohol and Drug CACAD Application   AD#6        
  CPC-AD Application   #AD7        
  LCADC Application     AD#8        
  Alcohol Drug LGADC Application     AD#9        
  Transfer from LGADC to LCADC        AD#10        
  Pre Application Credentials Evaluation for CSC-AD   AD#11        
  Pre Application Credentials Evaluation for CAC-AD    AD#12        
  Pre-Application Credentials Evaluation for CPC-AD    AD#13        
  Pre-Application Credentials Evaluation for LCADC and LGADC   AD#14        
  ALCOHOL AND DRUG Out Of State Application (click here) 

Professional Counselor Applications

  Pre-Application Credentials Evaluation for LCPC        
  LCPC Application     PC#2        
  LGPC Application     PC#3        
  Transfer from LGPC to LCPC     PC#4        
  Supervised Clinical Documentation Form       
  Educational  requirement information for LCPC and LGPC        
  LGPC Supervision Requirements Regulations        
  LCPC Out Of State Application (click here) 

Marriage And Family Therapy    

  Pre-Application Credentials Evaluation for LCMFT        
  LCMFT Application        
  LGMFT Application        
  Transfer from LGMFT to LCMFT        
  LCMFT Out Of State Application (click here) 

Miscellaneous Forms    

  Name Change        
  Duplicate License Request        
  Application for Inactive Licensure / Certification Status        
Address Change (click here)
  Verification Request Form