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Supervision Forms
Supervision Contracts:
To begin the process of establishing a supervision contract, please submit the original Supervision Contract (Form 201), along with a copy of your job description, and an official transcript with degree posted to the Oklahoma State Board of Licensed Social Workers. We MUST have the original contract with original signatures. Please keep copies for your records. In addition, we will need a copy of the W-4 you signed when you became employed with agency for which you are working. When your contract is approved, you will receive email notification of the approved contract along with the approval letter informing you of your effective start date.
Supervision Contract (Form 201)
If you are experiencing difficulty defining the "focus of supervision" for page two of the contract, please refer to the following examples. These examples should assist in helping you determine the area of focus for your supervisory experience.
Evaluation Forms:
Once your contract has been approved, you may begin accruing hours toward the completion of your supervision. Generally speaking, there are three evaluation periods for which you will need to submit evaluation forms. Evaluation forms are to be submitted at following intervals:
- When you have accumulated a minimum of 25 hours of educational supervision and 1000 practice hours (First Evaluation Period which is approximately six months if you employed full time).
- When you have accumulated a minimum of 50 hours of educational supervision and 2000 practice hours (Second Evaluation Period which is approximately twelve months if you employed full time).
- When you have accumulated a minimum of 100 hours of educational supervision and 4000 practice hours (Third Evaluation Period which is approximately twenty-four months if you employed full time).
For those seeking clinical licensure, you must complete submit the following forms for EACH evaluation period within 30 DAYS of completing the evaluation period. Comments MUST be included in all sections. All forms received by this office MUST include original signatures where appropriate.
Clinical Evaluation (Form 204)
Supervision Log (Form 202) Supervision Log Instructions
Supervisee's Evaluation of Supervisor (Form 207)
For those seeking administrative licensure, you must complete submit the same forms for EACH evaluation period within 30 DAYS of completing the evaluation period as noted above. The only difference is that you will complete FORM 205 instead of FORM 204.
Administration Evaluation (Form 205)
Termination of Supervision occurs for a variety of reasons, change of jobs, relocation, completed the required number of hours, etc. If you are terminating supervision for any reason, you will need to complete and submit FORM 208 within 30 days of the termination, along with evaluation forms and supervision log for that evaluation period.
Termination of Supervision (Form 208)
Board Approved Supervisors:
For eligibility requirements to become a Board Approved Supervisor, please review the "supervisor requirements" link.
To make application to become a Board Approved Supervisor, please fill out application and submit it to the Oklahoma State Board of Licensed Social Workers with payment of $150.00. Please note that your application MUST include detailed information demonstrating your supervisory work experience specific to the specialty for which you are making application, e.g., those seeking BAS approval for clinical specialty MUST describe their CLINICAL supervisory experience.
Application for Board Approved Supervisor (Form 401)
To enroll in a Supervisor Training Workshop, please complete the following form and forward to the Oklahoma State Board of Licensed Social Workers with payment of $100.00. Please note that the Supervisor Training offered by the Oklahoma State Board of Licensed Social Workers is the same for both BAS and Non-BAS Supervisors.
Supervision Training Registration form
Licensure Forms
New applicants seeking licensure approval shall complete the following two forms and submit to the Oklahoma State Board of Licensed Social Workers with payment of $150.00. In addition to completing the application and affidavit of legal status, all applications are required to submit to background check. Applicants must call the Oklahoma State Board of Licensed Social Worker to request the finger print cards and instructions. All application materials MUST be received by the Board office two weeks prior to the next scheduled Board meeting.
Application for Licensure (Form 301)
Background Check New Procedures (Fingerprinting); Oklahoma Live Scan Sites
Applicants who are requesting licensure transfer from another state must complete the application, background check, and affidavit of legal status. In addition, you must complete the verification licensure form and request an ASWB score transfer request as applicable.
Continuing Education Forms
Licensee Continuing Education Application (Form 505)
Provider Continuing Education Application (Form 801)
Verification of Attendance Form