Skip Ribbon Commands
Skip to main content An Official Website of the Commonwealth of Kentucky
Kentucky Board of Licensed Professional Counselors

Board of Licensed Professional Counselors
Applications and Forms

Adobe Acrobat RequiredAdobe Required
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
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