KY Counselor License App 2011-2024 free printable template

2011 Edition KENTUCKY BOARD OF LICENSED PROFESSIONAL COUNSELORS PO BOX 1360 FRANKFORT KY 40602 http://lpc.ky.gov RENEWAL APPLICATION FOR LICENSED PROFESSIONAL CLINICAL COUNSELOR Your Licensed Professional

How to fill out kentucky office of occupations

How to fill out lpcc renewal kentucky form:

1. Gather all necessary information and documents such as your current LPCC license number, contact information, and continuing education details.
2. Carefully read the instructions provided on the form to ensure you understand the requirements and process.
3. Complete the personal information section by providing your full name, address, phone number, and email address.
4. Enter your current LPCC license number and expiration date in the appropriate fields.
5. Indicate whether you have had any changes to your name, address, or contact information since your last renewal.
6. Provide details about your continuing education activities, including the title, date, and number of hours for each completed course or training program.
7. Sign and date the form, certifying that all the information you have provided is true and accurate.
8. Make a copy of the completed form for your records before submitting it.
9. Submit the filled-out lpcc renewal kentucky form to the appropriate licensing authority along with any required fees.

Who needs lpcc renewal kentucky form:

1. Licensed Professional Clinical Counselors (LPCCs) in Kentucky who wish to continue practicing and maintain an active license.
2. LPCCs who have reached the expiration date of their current license and need to renew it.
3. LPCCs who have made any changes to their personal information or have completed additional continuing education activities, which need to be updated in their license records.

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What is lpcc renewal kentucky form?

LPCC renewal Kentucky form refers to the application form that licensed professional clinical counselors (LPCCs) in the state of Kentucky must complete in order to renew their license. LPCCs are required to renew their license every two years. The renewal form typically includes personal information, proof of continuing education or professional development, and payment of renewal fees. The purpose of the form is to ensure that LPCCs meet the state's requirements for maintaining their license and staying updated with their professional development.

Who is required to file lpcc renewal kentucky form?

Licensed Professional Clinical Counselors (LPCCs) in Kentucky are required to file the LPCC renewal form.

How to fill out lpcc renewal kentucky form?

To fill out the LPCC renewal form in Kentucky, follow these steps: 1. Obtain the LPCC renewal form: You can obtain the form from the Kentucky Board of Licensed Professional Counselors' website or by contacting them directly. 2. Personal information: Provide your personal information at the top of the form, including your full name, mailing address, telephone number, and email address. 3. License information: Enter your LPCC license number, the date of original licensure, and the expiration date of your current license. 4. Continuing education: Fill out the section related to your continuing education. Provide the number of continuing education hours completed during your license period and attach the required documentation (such as certificates or course transcripts) as proof. 5. Employment information: Provide information about your current or most recent employment, including the name of the agency or institution, your position, and the dates of employment. 6. Professional liability insurance: Indicate whether you maintain professional liability insurance coverage or not. If you do, enter the name of the insurance carrier, the policy number, and the expiration date. 7. Background information: Answer all questions in the background information section honestly. If you answer "yes" to any question, provide a detailed explanation on a separate sheet of paper and attach it to the form. 8. Signature and date: Sign and date the form in the designated areas. 9. Payment: Include the appropriate fee with your application. Check the instructions or contact the licensing board for the current fee amount and acceptable payment methods. 10. Submission: Make a copy of the completed form and any supporting documentation for your records. Then, mail the original form and attached documents, along with the payment, to the address provided on the form or the licensing board's website. It's crucial to read the instructions on the LPCC renewal form carefully and provide accurate information. If you have any questions or need clarification, don't hesitate to contact the Kentucky Board of Licensed Professional Counselors for assistance.

What is the purpose of lpcc renewal kentucky form?

The purpose of the LPCC (Licensed Professional Clinical Counselor) renewal form in Kentucky is to allow mental health professionals who hold an LPCC license to renew their license. This form is typically submitted on a regular basis, often annually or biennially, depending on the specific requirements set by the Kentucky Board of Licensed Professional Counselors. Renewal forms ensure that LPCCs continue to meet the necessary qualifications and adhere to the regulations and standards for practicing as a professional clinical counselor in the state of Kentucky.

What information must be reported on lpcc renewal kentucky form?

The specific information required on the LPCC renewal form in Kentucky may vary, but typically it will ask for the following information: 1. Personal information: Name, address, phone number, and email address. 2. License information: LPCC license number and expiration date. 3. Continuing education: Number of continuing education hours completed during the renewal period. 4. Professional liability insurance: Whether the licensee maintains professional liability insurance and the policy details. 5. Criminal convictions and disciplinary actions: Disclosure of any criminal convictions or disciplinary actions taken against the licensee in other jurisdictions. 6. Attestation: A statement affirming that the information provided is true and accurate and that the licensee has complied with all relevant laws and regulations. It is important to refer to the specific LPCC renewal form provided by the Kentucky Board of Licensed Professional Counselors to ensure all required information is properly reported.

What is the penalty for the late filing of lpcc renewal kentucky form?

The penalty for late filing of the LPCC (Licensed Professional Clinical Counselor) renewal form in Kentucky is a fee equal to the renewal fee plus an additional 50% of the renewal fee. Additionally, if the renewal is not submitted within 60 days of the expiration date, the LPCC's license will become inactive and they will no longer be authorized to practice counseling in the state of Kentucky.

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