1. (1) Every applicant for licensure by examination as a clinical social worker, marriage and family therapist or mental health counselor shall verify the required supervised experience on Form DH-MQA 1181, “Verification of Clinical Experience” (Revised 5/2025), which is hereby adopted and incorporated by reference and is available from HYPERLINK "http://flrules.org/Gateway/reference.asp?No=Ref-18549"http://flrules.org/Gateway/reference.asp?No=Ref-18549, or the web at www.floridasmentalhealthprofessions.gov/forms/clinical-exp-verification.pdf. This form is to be completed and signed by the applicant’s supervisor.
2. (2) Applicants for licensure in Clinical Social Work, Marriage and Family Therapy or Mental Health Counseling who cannot provide verification by the methods above will be reviewed on an individual basis as to the sufficiency of alternative verification.

Rulemaking Authority 491.004(5) FS. Law Implemented 491.005(1)(c), (3)(c), (4)(c) FS. History–New 6-8-09, Amended 8-27-13, 2-1-17, 9-8-21, 11-3-25.