Get the free LPCC Request for Initial License Issuance

STATE OF CALIFORNIA BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY Governor Edmund G. Brown Jr. Board of Behavioral Sciences1625 North Market Blvd., Suite S200, Sacramento, CA 95834 Telephone: (916)

How to fill out lpcc request for initial

How to fill out lpcc request for initial:

1. Start by gathering all necessary documentation such as proof of identity, transcripts, and employment verification.
2. Review the lpcc request form carefully, ensuring that you understand each section and the information required.
3. Fill in personal information accurately, including your name, address, contact details, and social security number.
4. Provide details about your education, including the name of the institution, dates attended, degree obtained, and any relevant licensure or certification.
5. Indicate if you have ever held a mental health license in any jurisdiction and provide details if applicable.
6. Answer any questions regarding your criminal history or disciplinary actions taken against you.
7. Document your experience in the field of counseling, including dates, job titles, and employer information.
8. Fill out any additional sections pertaining to supervision and clinical training, if applicable.
9. Sign and date the form, ensuring that all information provided is truthful and accurate.
10. Submit the completed lpcc request for initial form along with any required fees to the designated licensing board.

Who needs lpcc request for initial?

1. Individuals seeking to obtain a Licensed Professional Clinical Counselor (LPCC) license.
2. Counselors who have completed their education and training requirements and are ready to begin their professional practice.
3. Those who wish to provide mental health counseling services under the LPCC license, as regulated by their state's licensing board.

Note: The specific requirements for an lpcc request for initial may vary depending on the jurisdiction, so it is important to consult the relevant licensing board for accurate and up-to-date information.

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What is lpcc request for initial?

LPCC request for initial is a form used to request an initial license for Licensed Professional Clinical Counselors (LPCCs).

Who is required to file lpcc request for initial?

LPCCs who are seeking their initial license are required to file the LPCC request for initial.

How to fill out lpcc request for initial?

The LPCC request for initial form can be filled out online or printed and filled out manually, following the instructions provided.

What is the purpose of lpcc request for initial?

The purpose of the LPCC request for initial is to formally request an initial license as a Licensed Professional Clinical Counselor.

What information must be reported on lpcc request for initial?

The LPCC request for initial form typically requires personal information, education details, supervision details, and any relevant work experience.