LCSW Renewal Form - Oregon.gov - oregon 2026

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The document is a renewal application for the Licensed Clinical Social Worker (LCSW) license in Oregon, detailing the necessary information and requirements for license renewal, including personal details, continuing education requirements, and various status options (active, semi-retired, inactive). It outlines the fees associated with each status, the certification process for accuracy of information provided, and the consequences of failing to meet continuing education requirements. Additionally, it includes a series of questions regarding any legal or professional issues that may affect licensure.

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Click ‘Get Form’ to open the LCSW Renewal Form in our editor.
Begin by entering your License Number and Renewal Date, which is the end of your birth month. This information is crucial for processing your renewal.
Fill in your Legal Name, including Last, First, and Middle names. Ensure accuracy as this will be used for official records.
Provide your Mailing Address and contact numbers (Home Phone, Work Phone, Cell Phone) to ensure the Board can reach you if necessary.
Indicate the Amount Enclosed based on your license status (Active, Semi-Retired, Inactive) and check the appropriate box for your License Status.
Complete the Continuing Education section by certifying that you have met the required hours. If audited, prepare to submit documentation.
Sign and date the form at the bottom to certify that all information provided is accurate and complete before submitting it.

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