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Kentucky Board of Licensed Professional Counselors

Board of Licensed Professional Counselors
Applications and Forms

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Note: The documents on this page are in Adobe Acrobat (PDF) format. Please click on the following link to download a free copy of Adobe Acrobat Reader.

 

September 2016

The Office of Occupations and Professions is developing a new online renewal for your license. Once online you will be able to print cards and certificates, see historical data, payments and complete the application. Renewal notices will go out and your renewal date is October 31, 2016. Your grace period extends your licensure and the ability to practice until December 31, 2016 at which time your license will expire at midnight. Late fees will apply to all applications submitted after the date contained in your regulations.

 
Please be patient as the development team may not have the online system operational until the beginning of October. Please do not email or call the Board Administrator with questions regarding paper applications or online renewal. Please log into E-services to check the availability of the online renewal system or check back on this website for any other renewal updates. The Office of Occupations and Professions will keep you fully informed on this website.

 

 Form Library

 
  
  
  
  
2016 Renewal Notice - LPCC and LPCA.pdf
  
21 KB 8/24/2016 12:03 PM
Application for Licensure as an LPCA.pdf
  
245 KB 5/10/2012 3:53 PM
Application for Licensure as an LPCC.pdf
  
311 KB 5/10/2012 3:50 PM
Application for Reinstatement - LPCA.pdf
  
38 KB 5/18/2011 2:29 PM
Complaint Form.pdf
  
22 KB 5/18/2011 4:51 PM
Continuing Education Licensee or Course Application.pdf
  
219 KB 2/9/2016 11:52 AM
LPCA SEMI-ANNUAL REPORT.doc
  
100 KB 3/31/2015 7:58 AM
Open Records Request.pdf
  
35 KB 6/4/2012 9:33 AM
Reciprocity Information Sheet.pdf
  
20 KB 5/18/2011 2:29 PM
Reinstatement Application - LPCC.pdf
  
54 KB 5/18/2011 2:29 PM
Request for Mailing List.pdf
  
103 KB 1/2/2013 1:46 PM
Supervisory Agreement.docx
  
65 KB 3/19/2014 8:08 AM
Verification of Licensure Request.pdf
  
45 KB 5/18/2011 2:29 PM