Fillable RE-EXAMINATION Instructions and Important Information (California)

Fill Online, Printable, Fillable, Blank RE-EXAMINATION Instructions and Important Information (California) Form

Use Fill to complete blank online CALIFORNIA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

RE-EXAMINATION Instructions and Important Information (California)

On average this form takes 1 minutes to complete

The RE-EXAMINATION Instructions and Important Information (California) form is 5 pages long and contains:

  • 0 signatures
  • 5 check-boxes
  • 3 other fields

Country of origin: US
File type: PDF

BROWSE CALIFORNIA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
37A-298 (Revised 01/2021)
APPLICATION FOR
RE-EXAMINATION
Instructions and Important Information
Read Carefully Before Completing Your Application
HOW TO APPLY
1. Ensure that your current email address is on file via the BreEZe system online.
Otherwise you will not receive notice that you are eligible to take the exam.
2. Complete the attached application.
3. If required (see below), attach proof of completion of a 12-hour California Law and
Ethics course.
4. FEE: Attach a check or money order payable to “Behavioral Sciences Fund” in the
amount of:
Law and Ethics Exam: $150
LMFT Clinical Exam or LEP Exam: $250
5. Submit your application and fee to the address below:
Board of Behavioral Sciences
1625 North Market Blvd., Suite S200
Sacramento CA 95834
12-HOUR CALIFORNIA LAW AND ETHICS COURSE
If you hold a current or delinquent associate registration, and weren’t able to pass the Law and
Ethics Exam prior to your registration’s expiration date, you must attach proof of completing a 12-
hour course on California Law and Ethics in order to regain eligibility to take the Law and Ethics
Exam during your next renewal cycle. The course must be taken through an acceptable continuing
education provider, a governmental entity, or a college or university.
REQUIRED WAITING PERIOD BETWEEN RETAKES
• California Law and Ethics Exam: 90-day waiting period
• Clinical Exam: 120-day waiting period
• LEP Exam: 180-day waiting period
TO CONFIRM RECEIPT OF APPLICATION
To confirm receipt, mail your application using a method that includes tracking. You may also
contact your bank to see if your check has been cashed.
37A-298 (Revised 01/2021)
APPLICATION PROCESSING TIME
Allow 4–6 weeks for processing. Please do not contact the Board to check on the status unless
your application has been on file for 45 or more days. Pearson Vue administers the exam. After the
Board processes your application and your waiting period has passed, you will receive an e-mail
notifying you of eligibility from Pearson Vue. You may contact Pearson Vue to schedule your exam
once you receive the email. Do not attempt to schedule a date with Pearson Vue until you receive
notification of eligibility. Pearson Vue testing centers are located throughout the state as well as
some out of state, offering testing 5–6 days a week. Refer to the Candidate Handbook for testing
site locations.
EXPEDITED PROCESSING
The Board is required to expedite the licensure process for the following applicants:
• Honorably discharged veterans of the U.S. Armed Forces pursuant to Business and
Professions Code (BPC) section 115.4. Download the request form from the Board’s website
and include it ON TOP OF your application.
• Spouses/Partners of persons on active duty military pursuant to BPC section 115.5.
Download the request form from the Board’s website and include it ON TOP OF your
application.
• Refugees / Asylees / Special Immigrant Status Holders ("SI" or "SQ") pursuant to BPC
section 135.4. Download the request form from the Board’s website and include it ON TOP OF
your application.
ADDRESS CHANGE
If your address has changed, be sure to update it ASAP online at www.breeze.ca.gov.
TESTING ACCOMMODATIONS
Reasonable accommodations will be provided to candidates who have a qualifying disability or
medical condition. All testing sites are physically accessible to individuals with disabilities. All other
accommodations require pre-approval of a Request for Accommodation. If English is your second
language (ESL), you may apply for an ESL accommodation.
LAW AND ETHICS EXAM – IMPACT ON ASSOCIATE REGISTRATION RENEWAL
Registrants Must Take the California Law and Ethics Exam to Renew
You are required to take the California Law and Ethics Exam for the license type you are pursuing
while a registrant in order to renew (unless you have already passed the California Law and Ethics
Exam). Your registration will not be renewable until you have taken the required exam.
Passing Score Required for Issuance of a Subsequent Registration
Applicants cannot be issued a subsequent ASW, AMFT, or APCC registration (second or third
number, etc.) without first passing the California Law and Ethics Exam. (Note: Applicants who
have already passed the Standard Written exam do not have to pass the Law and Ethics exam
unless it has been more than seven years since they passed the Standard Written.)
37A-298 (Revised 01/2021)
ABANDONMENT OF APPLICATION
In accordance with Title 16, California Code of Regulations section 1806, your file will be deemed
abandoned if:
• You fail to sit for the examination within one (1) year after being notified of eligibility to take
the examination;
• You fail to sit for the clinical examination within one (1) year of being notified of passing the
law and ethics examination; or,
• You fail to retake an exam within one (1) year from the date you were notified of failing the
examination.
To reopen an abandoned file you must submit a new application, fee and all required
documentation, as well as meet all current requirements in effect at the time the new application is
submitted.
QUESTIONS?
Please visit the Contact Us link at www.bbs.ca.gov and select an option under “Message the
Board.”
37A-298 (Revised 01/2021)
Blank Page
37A-298 (Revised 01/2021)
APPLICATION FOR
RE-EXAMINATION
Office Use Only:
Carefully read the “Instructions and Important Information” FIRST
Attach Fee Allow 45 Days for Processing
Examination Type
(SELECT ONLY ONE):
LCSW Law and Ethics Examination
LPCC Law and Ethics Examination
LMFT Law and Ethics Examination
LMFT Clinical Examination
LEP Examination
You may need to
attach a certificate
of completion of a
12-hour course on
Law and Ethics.
See application
instructions.
SSN or ITIN*:
Legal Name**: Last First Middle
* You may provide either your Social Security Number, your Federal Employer Identification
Number, or Individual Taxpayer Identification Number, as applicable.
** You must use your legal name. Your “legal name” is the name established legally by your
birth certificate, marriage or domestic partnership certificate, or divorce decree (for example).
If you have a name change that you would like processed with your application, you must
attach the “Notification of Name Change” form and all required documentation. This form is
available online at https://www.bbs.ca.gov/pdf/forms/change_name.pdf. Your license will
reflect your new name only if a complete “Notification of Name Change” is received with your
application. Do not send original documents unless specifically requested.
NOTE: Knowingly providing false information or omitting pertinent information may be
grounds for denial of this application.
Signature of Applicant Date
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

RE-EXAMINATION Instructions and Important Information (California)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 23 April 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document