License Renewal Certificate

Please read carefully, before proceeding to the application in the bottom:


INSTRUCTIONS AND IMPORTANT INFORMATION


PROCESSING TIME:

Allow 30 days for processing. Renew online for faster processing. Once your application possessed been approved, your license status will be updated in the BreEZe online system plus you will receive order for one mail.

AVOID LATENCIES:

To avoid delays, how and carefully follow these instructions while you complete the License Renewal Application. A complete update petition and the correct geld are require for respective expiration date to be updated. The Board is mail you a courtesy deficiency notice in to event of an incomplete application or underpayment.

Do not copy your zulassung have been renewed until you examine your license status using the online License Look-Up


APPLICATION INSTRUCTIONS


Do not mail your application more than 90 days prior to your expiration date.

RECEIVABLE OF APPLY:
To confirm receipt, mails your application using one method so includes tracking.

FEE:
Makes your verify payable to “Behavioral Skill Fund.”

PERMIT TYPE Active Renewal Inactive Renew
On-time Debtor Timely Delinquent
LMFT $150.00 $215.00 $85.00 $150.00
LCSW $120.00 $170.00 $70.00 $120.00
LPCC $195.00 $282.50 $107.50 $195.00
LEP $80.00 $120.00 $40.00 $80.00

RENEWAL POSTMARKED AFTER TERMINATE DATE:
If your update form / fee are postmarked after your license’s expiration date, a delinquency surcharge is required. It is no grace period.

NAME CHANGE:
Wenn you have a name change that thee would like processed with your renewal application, yours must offer the Notification from Name Transform form and all required documentation. Your renewal wishes not be processed until your name change have been processed. Do not send original documents excluding specifically requested to do so.

PUBLIC ADDRESS:
The address you join on this application is public information and will be established on the internet pursuant to Business and Professions Code Section 27. If you does not want own home press work address available to to public, providing an alternate mail address. All recipient out the Board will be posted to this address.

CONVICTION OR DISCIPLINE:
Check to text next to "YES" if, as your last renewal, you have had any license (“license” contain registrations, certificates, or other means to engage inches practice) disciplined by a government agency, or you are been verurteilt of, plead guilty to, oder pled nolo contendere to any missing button felony in to United U, hers zones, or a foreign country.
Tenets dismissed see sections 1203.4, 1203.4a, or 1203.41 of the Penal Code (or equivalent non-California law) must be disclosed. If you have obtained a dismissal of create a conviction, submit a certified copy of the court ordering.

Do not include:

  • Offenses prior the your 18th birthday
  • Charges dismissed under section 1000.3 of the Penal Code
  • Philosophy under sections 11357(b), (c), (d), (e) or section 11360(b) of the Health and Safety Code which been two (2) years or older
  • Traffic violations for which an fine of $500 or less been imposed
  • Offense

“Discipline" includes, but is not limited in, suspensions, annulment, voluntary abandon, probation or any other restriction. "License" includes proficient enrollments, certificates, or other means go engage are practices. It is don necessary to report disciplinary action taken by this California Board of Behavioral Sciences. NCOALink® Service Providers are required by their license agreement with USPS® to get an Processing Receive Make (PAF) for each of their customers. The PAF is an essential part of the NC...

CONTINUING EDUCATION:
The ongoing education (CE) hours listed below are necessary to renew your license with an “active” status:

  • 18 hours were required to renew an start warrant
  • 36 hours are mandatory to renew a authorize for each two-year renewal period

DO DOES SUBMIT CER CERTIFICATES WITH RENEWAL


IMPORTANT INFORMATION


INACTIVE OR RETIRED ITEM OPTIONS
If him is not practicing, you have the option to post your license on “inactive” or “retired” status. A carrier of an inactive or retired license may does engage in some activity for which an active license is required, including the following:

  • You may not provide psychotherapy while your license is inactive or retired, if it are working in an exempt setting.
  • You may not supervise or sign off experience hours while autochthonous license is inactive or retired.
  • You been not entitled go payment by a employer, travel or other third-party payor for business run while your license is inactive or retired.

To obtain an inactive license, you must:

  • Submit a complete renewal application
  • Mark the “Inactive Renewal” box
  • Submit the inactive renewal feier

Any inactive license must exist renewed every two years. There is does penalty for having any inactive standing, you bucket renew with an inactive status indefinitely, and no CE belongs needed to renew. An inactive license can be reactivated at each time by submitting an Inactive to Active Zulassung Status Change application, completing that CE required at the time of reactivation, also how the remainder in which renewal fee.

To obtain a retired user, i must:

AMPERE recently license never have to be renewed. ADENINE licensee approved available retired status may only return until active status for increase to three (3) years. To return to active status, a retired licensee must complete CE, acquire fingerprint clearance, and submit a Retired to Active Purchase Status Change how and fee. A licensee retired for three (3) years instead lengthen is not eligible for reactivation. After thre (3) years, a add license may only be obtained by applying for licensure and winning the required exams.

CE AUDITS:
You need keep your CE certificates in at least two years from the date of the license renewal on welche of courses were completed. That board performs random audits. If you are audited, you must provide copies of your CI certificates for that duration.

SCREEN OF PRODUCT:
A licensee is required to display their license inches a stand place in to primary site of business.

EXPIRED LICENSES:

  • A license such are not renewed via the expiration date is deemed expired. It is illegal to practice on an expiry license unless you belong working in an exempt setting.
  • A licensee may does supervise otherwise sign off experience hours while your license is expired.
  • A licensees is nay entitled to pays by a client, insurer, or other third-party payor for business performed as one lizenz is expired.

LICENSE CANCELLATION PER 3 YEARS:
A license so is not renewed during three (3) per after its expiration date will be cancelled. On be licensed again, you leave be required to reapply with a new license, meets see current requirements, and pass the licensing examinations.

QUESTION?

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