Reference · the Board’s own PDFs, read 7 September 2026
The LCSW and LPCC forms, by number: what the MFT guide’s “their own numbers” actually means.
Ten forms on the clinical social work path, ten on the professional clinical counseling path, and six every path shares. Each row carries the number and revision date printed on the document, who completes it, and whether it is kept or submitted — the distinction that costs people hours. Two numbering oddities in the Board’s own files are recorded rather than tidied away.
Clinical social work →Clinical social work
ASW to LCSW, in the order the forms arrive.
Numbers and revision dates are the ones printed in each document’s footer on 7 September 2026; if the Board’s page shows a later revision, the Board’s copy governs. The rule that decides which of these you keep and which you send is the same one the MFT guide sets out, and it is worth reading once: the forms guide, form by form.
| Form | Who completes it | Kept or submitted | What it is |
|---|---|---|---|
| Application for ASW Registration (in-state degree) 37A-519, rev. 10/2024 | You; your school certifies the degree inside the packet | Submitted, with the fee | The cover carries the 90-day rule in the same words as the MFT packet: apply within 90 days of the degree award date to count experience gained in California immediately after graduating. |
| Application for Subsequent ASW Registration 37A-520a, rev. 08/2026 | You | Submitted, with the fee | For an associate whose first registration reaches its final expiry. |
| ASW Supervisor Qualifications rev. 06/2023 | Nobody; it is a reference sheet | Read before agreeing | The Board’s summary of who may supervise an ASW. |
| ASW Weekly Log of Experience Hours 37A-638, rev. 08/2022 | You, signed by the supervisor each week | Kept until you are licensed; do not submit unless asked | “Use a separate log for each supervisor and for each work setting. Do not submit to the Board unless specifically requested.” The APCC log carries the same form number. |
| Supervisor Responsibility Statement (LCSW) 37A-522, rev. 01/2020 | The supervisor, under penalty of perjury | Kept; submitted with the license application for relationships begun before 1 January 2022 | The pre-2022 instrument, replaced for newer relationships by the Supervision Agreement. |
| Supervisory Plan (LCSW and LPCC) 37A-521, rev. 3/10 | Supervisor and supervisee together | Kept by both; not submitted | Only for relationships established before 1 January 2022 that continued past it. The Board’s LPCC page links this same form. |
| In-State Experience Verification (LCSW) 37A-201, rev. 05/2024 | Each California supervisor; you submit it | Submitted with the license application | The completed-hours documentation, one per supervisor and per setting. It is also bound inside the licensure packet. |
| Application for LCSW Licensure (in-state) 37A-532, rev. 06/2026 | You; supervisors complete the verifications inside | Submitted, with the fee | “Use this application when you are ready to have your supervised experience evaluated to qualify to take” the clinical exam; it may be submitted before the Law and Ethics exam is passed. The packet carries 37A-200 and 37A-201 inside it. |
| LCSW Breakdown of Required Experience rev. 10/2023 | Nobody; it is a chart | Read while you plan the hours | The Board’s own breakdown of the categories the 3,000 hours must fall into. |
| Sample Verification of Employment as a Volunteer rev. 01/2019 | Your employer, on letterhead | Submitted with the license application | Required when the associate worked as a volunteer. |
Professional clinical counseling
APCC to LPCC, the same shape with different paper.
| Form | Who completes it | Kept or submitted | What it is |
|---|---|---|---|
| Application for APCC Registration (in-state degree) 37A-657, rev. 11/2024 | You; your school certifies the degree | Submitted, with the fee | Same 90-day cover rule. Note the number: the LPCC licensure application below also prints 37A-657, at a different revision. |
| Degree Program Certification, Form A (in-state) 37A-666, rev. 08/2024 | Your school | Submitted sealed by the school, or emailed by the school | Which of Form A and Form B applies turns on when graduate study began. |
| Degree Program Certification, Form B (in-state) 37A-667, rev. 08/2024 | Your school | Submitted sealed by the school, or emailed by the school | The companion to Form A. |
| Application for Subsequent APCC Registration 37A-656, rev. 08/2026 | You | Submitted, with the fee | The counterpart to the AMFT and ASW subsequent registrations. |
| APCC Supervisor Qualifications rev. 06/2023 | Nobody; it is a reference sheet | Read before agreeing | Who may supervise an APCC, including the couples-and-families condition an LPCC supervisor must meet. |
| APCC Weekly Log of Experience Hours 37A-638, rev. 08/2022 | You, signed by the supervisor each week | Kept until you are licensed; do not submit unless asked | “Use a separate log for each supervisor and for each work setting.” Same form number as the ASW log, different form. |
| LPCC Supervisor Responsibility Statement 37A-643, rev. 01/2020 | The supervisor, under penalty of perjury | Kept; submitted with the license application for relationships begun before 1 January 2022 | The pre-2022 instrument for this path. |
| LPCC In-State Experience Verification 37A-675, rev. 10/2024 | Each California supervisor; you submit it | Submitted with the license application | One per supervisor and per setting, signed at the end of supervision. |
| Application for LPCC Licensure (in-state) 37A-657, rev. 06/2026 | You; supervisors complete the verifications inside | Submitted, with the fee | Submitted when the hours are ready to be evaluated; it may be filed before the Law and Ethics exam is passed. Its pages also carry 37A-632, 37A-675 and 37A-678. |
| Sample Verification of Employment as a Volunteer rev. 01/2019 | Your employer, on letterhead | Submitted with the license application | The LPCC version of the same letter. |
Two numbers that look like mistakes and are what the Board publishes
The ASW and APCC weekly logs are both numbered 37A-638 (rev. 08/2022). They are different forms — each is titled for its own registration — sharing a number. The APCC registration application and the LPCC licensure application both print 37A-657, at revisions 11/2024 and 06/2026. Download each from the page for the license you are applying for and check the title on page one; the number alone will not tell you which document you have.
Then what
The hours these forms are evidence of.
ASW hours
3,000 hours as an ASW
The categories, the caps and the weekly minimums for the clinical social work path.
Both at once
Dual AMFT and APCC registration
The Board’s five conditions for counting one set of hours toward two licenses.
The exams
Exam accommodations
ASWB approves for its clinical exam, the Board for the NCMHCE; apply before you schedule.
Where every figure came from
Sources.
The clinical social work forms
- Application for ASW Registration (in-state degree) (37A-519, rev. 10/2024)
- Application for Subsequent ASW Registration (37A-520a, rev. 08/2026)
- ASW Supervisor Qualifications (rev. 06/2023)
- ASW Weekly Log of Experience Hours (37A-638, rev. 08/2022)
- Supervisor Responsibility Statement (LCSW) (37A-522, rev. 01/2020)
- Supervisory Plan (LCSW and LPCC) (37A-521, rev. 3/10)
- In-State Experience Verification (LCSW) (37A-201, rev. 05/2024)
- Application for LCSW Licensure (in-state) (37A-532, rev. 06/2026)
- LCSW Breakdown of Required Experience (rev. 10/2023)
- Sample Verification of Employment as a Volunteer (rev. 01/2019)
- Board of Behavioral Sciences, LCSW applicants page: the forms index
The professional clinical counseling forms
- Application for APCC Registration (in-state degree) (37A-657, rev. 11/2024)
- Degree Program Certification, Form A (in-state) (37A-666, rev. 08/2024)
- Degree Program Certification, Form B (in-state) (37A-667, rev. 08/2024)
- Application for Subsequent APCC Registration (37A-656, rev. 08/2026)
- APCC Supervisor Qualifications (rev. 06/2023)
- APCC Weekly Log of Experience Hours (37A-638, rev. 08/2022)
- LPCC Supervisor Responsibility Statement (37A-643, rev. 01/2020)
- LPCC In-State Experience Verification (37A-675, rev. 10/2024)
- Application for LPCC Licensure (in-state) (37A-657, rev. 06/2026)
- Sample Verification of Employment as a Volunteer (rev. 01/2019)
- Board of Behavioral Sciences, LPCC applicants page: the forms index
Shared forms and the rule behind them
- Supervision Agreement (all three licenses) (37M-300, rev. 05/2026)
- Supervision Agreement: Index of Legal Citations (37M-301, rev. 05/2026)
- Sample Written Oversight Agreement (rev. 01/2022)
- Live Scan instructions and request form (37A-648, rev. 06/2020)
- Application for Re-Examination (37A-298, rev. 07/2026)
- Request for Initial License Issuance (37M-308, rev. 07/2026)
- Board of Behavioral Sciences, Statutes and Regulations: 16 CCR §1833 and its counterparts, read 7 September 2026
Every PDF was downloaded from bbs.ca.gov on 7 September 2026 and its footer read; the numbers and revision dates are as printed. Forms are revised without notice and the Board’s page is the copy that counts. The two shared numbers noted above are what the documents themselves show. Not legal advice.
