Forms: Application | Renewal | Complaint

LICENSE APPLICATION FORMS

HOW TO APPLY FOR A LICENSE General Information:

COMPLAINT FORMS

Request for Investigation
Consent Release

LICENSEE RENEWAL FORMS  – Renewals Open July 1, 2022

CONTINUING PROFESSIONAL DEVELOPMENT (CPD) VERIFICATION FORM(To be completed for and retained for your records when claiming credit for peer consultation, continuous practice outcome measure, professional activities, and self-directed learning activities.)

Renewal Application (All licenses – 2022)

Fee Reduction Application 2022

CPD – Continuing Education Extension Application 2022

CPD REPORT – Licensed Psychologist Continuing Professional Development Report 2022

CPD LSSP REPORT – Licensed Specialist in School Psychology Continuing Professional Development Report 2022

NOTICE: In compliance with La. R.S. 44:33.1, the LSBEP hereby gives notice that information submitted to the LSBEP may become public record pursuant to the provisions of Louisiana Public Records Law, La. R.S. 44:1, et seq.