and Family Therapist Forms
Program/Provider Forms, CEU Listings and Audits & Renewal Forms
& FBI INSTRUCTIONS
- For all applicants for CT, PC, PCC, SWA, SWT, LSW, LISW, MFT
request copies of previous criminal records checks from BCI
Request a copy of a BCI check done for another purpose to be sent to this board
Send copy to this board
Request a copy of a BCI check done for this board to be sent elsewhere
Request a copy to be sent elsewhere
to request exemption from Electronic Scanning of Fingerprints
If you have any criminal issues follow these directions Requirements
for Criminal Convictions
Request for BCI to accept an ink rolled fingerprint Ink
Rolled Fingerprint Request form
you cannot download the forms below, or you do not have a computer,
you can print off forms from a computer at your local library.
You may also mail, call 614-466-0912 or e-mail
your request for forms. Be sure to include the following information.
Name & Address & City/State/Zip & if you have one
your License Number.
Reader is required to view these forms. Versions for Windows,
DOS, Macintosh or Unix are available FREE. Forms are Active Adobe
Forms meaning you can click on the text boxes and type in your
information and then print for mailing.