Forms

Background Check Forms

• Criminal Record Check Instructions
• RAP Disclosure 
• Authorization
• Automated Process Form

Verification and Endorsement Applications

• LMFT Endorsement Application
• LPC Endorsement Application
• Verification of Out of State Licensure

Sample Statement and Declaration of Practices and Procedures

• PLMFT Statement of Practices and Procedures
• LMFT Statement of Practices and Procedures
• PLPC Declaration of Practices and Procedures
• LPC Declaration of Practices and Procedures
• LPC-S Declaration of Practices and Procedures

Licensee Applications

• LPC Application for Licensure
• LMFT Application for Licensure
• PLMFT Application for Licensure
• PLPC Application for Licensure
• PLMFT Practice Setting Application
• PLPC Practice Setting Application
• PLPC Change or Add of Supervisor Application
• PLMFT Change or Add of Supervisor Application

• LMFT-SC Application for Licensure: Section 2

Licensee Forms

• Complaint Form
• PLMFT Documentation of Experience Form
• PLPC Documentation of Experience Form
• Expedited Processing Form
• LMFT Documentation of Supervision of Supervision Form

Supervision

• Verification of AAMFT Supervisor Status
• MFT Supervisor Handbook