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If you know which application package you need, click on the title to retrieve the complete package or the individual form. To assist you in determining which method of licensure or certification you might select, click here.
 
APPLICATION PACKETS:RE-APPLICATION PACKETS
  For an Expired License
Addictions TherapyFor an Expired Certificate 
Provisional Addictions Therapist (PAT)  
Licensed Addictions Therapist by Completing Provisional INDIVIDUAL FORMS:
Licensed Addictions Therapist by Reciprocity (LAT) List A & B
Licensed Addictions Therapist as a 2nd License (LAT) Disclosure Statement Requirements
Certified Addictions Practitioner by Examination (CAP) Name/Address Change
Certified Addictions Practitioner by Reciprocity (CAP) Professional Reference
Certified Addictions Practitioner Assistant by Examination (CAPA) Roster Request
Certified Addictions Practitioner Assistant by Reciprocity (CAPA) Supervision Agreement- Certified
  Supervision Agreement- Provisional
Clinical Social Work Training Evaluation- CAPA
Provisional Clinical Social Worker (PCSW) Transcript Evaluation- CAP
Licensed Clinical Social Worker by Completing Provisional Transcript Evaluation- LAT
Licensed Clinical Social Worker by Reciprocity (LCSW) Transcript Evaluation- LMFT
Certified Social Worker by Examination (CSW) Transcript Evaluation- LPC
Certified Social Worker by Reciprocity (CSW) Verification and Evaluation of Supervised Experience
  Verify my WY License
Marriage and Family Therapy Verify my Out-of-State License to WY
Provisional Marriage and Family Therapist (PMFT)  
Licensed Marriage and Family Therapist by Completing Provisional
Licensed Marriage and Family Therapist by Reciprocity (LMFT)
   
Professional Counseling  
Provisional Professional Counselor (PPC)  
Licensed Professional Counselor by Completing Provisional  
Licensed Professional Counselor by Reciprocity (LPC)  
   
Retired Status  
Request Retired Status  
Return to Active Status  

To assist you in determining which type and method of licensure or certification you might select, answer the question.

        
    Have you been awarded a master's degree in Counseling, Social Work, Marriage and Family Therapy or Addictions Therapy from an educational institution accredited by one of the regional or national institutional accrediting bodies recognized by the Council for Higher Education Accreditation (CHEA)?    
         


                   
    Click Here For Yes         Click Here For No