Wyo. Code R. 078-0001-12
Effective Date: 12/17/2021 to Current
Rule Type: Current Rules & Regulations
Reference Number: 078.0001.12.12172021
Application Procedure
(a) A separate and distinct license or certification shall be issued for each of the following disciplines:
(b) Initial licenses and certifications shall expire on the licensee's or certificate holder's birth date immediately following the second anniversary of the issue date. Thereafter, upon renewal, the license or certification shall be valid for two (2) years.
(c) Additional licenses and certifications issued to the same individual shall expire on the same date as the initial license or certification held by that individual. Thereafter, upon renewal, the license or certification shall be valid for two (2) years.
(d) An applicant shall clearly indicate the specific license or certification desired. An applicant who seeks licensure or certification in more than one discipline shall submit separate applications, appropriate fees and documentation for each license or certification sought.
(e) The Board shall not make any determination regarding an applicant’s eligibility for license or certification status prior to receiving a completed application, fee, and all supporting documents.
Section 2. General Application Procedures. An individual is considered an applicant once he or she has submitted the following:
(a) A complete official application form accompanied by the application fee and appropriate proof of legal presence in the U.S.
(b) Official transcripts from all colleges and universities attended.
(i) Applicants required to complete transcript evaluation forms shall not use the same class to meet the requirements for more than one required area of study.
(c) A certificate of professional qualification in the discipline from a national credentials bank, approved by the Board, may be accepted by the Board for license by reciprocity. The Board may require the applicant to submit such supplemental information as it deems necessary to assure that the applicant meets the qualifications for licensure.
(d) All documents submitted in support of the application shall contain signature and be submitted directly to the office of the Board from the respondent and not forwarded through the applicant.
(e) Fingerprints and other information necessary for a criminal history record background check as required by Wyoming Statute 33-38-105 (j).
(f) The applicant acknowledges through submission of an application and fee the Board may perform an ongoing query of their licensure through the National Practitioners Data Base.
(g) Completion of all requirements for licensure or certification shall be documented within one (1) year of the date the application is received by the Board, otherwise the application will be deemed expired. If an application expires, an applicant shall be required to submit a new application including the payment of the required fees.
Section 3. Application for Licensure by Examination. In addition to the documents required in Section 2 of this chapter, the DQCS(s) of the applicant shall submit complete Verification and Evaluation of Supervised Experience forms within thirty (30) days of the conclusion of supervision.
Section 4. Application for Licensure by Reciprocity. The applicant shall request verification of licensure in good standing from jurisdictions where the applicant holds or has held a license in any mental health discipline. Additionally, the applicant shall submit official transcripts from all colleges and universities required by the application as well as verification that the applicant has achieved a passing score on an accepted examination for the license. The
Board may rely upon the documentation and verified data gathered and stored by not for profit organizations which share in the public protection mission of this Board including, but not limited, to Association of Social Work Boards.
Section 5. Application for Certification by Examination. In addition to the documents required in section 2 of this chapter, the DQCS of the applicant shall submit a complete supervision agreement.
Section 6. Application for Certification by Reciprocity. The applicant shall request verification of certification in good standing from jurisdictions where the applicant holds or has held a certification in any mental health discipline. Additionally, the applicant shall submit official transcripts from all colleges and universities required by the application as well as verification that the applicant has achieved a passing score on an accepted examination for the certification. The board may rely upon the documentation and verified data gathered and stored by not for profit organizations which share in the public protection mission of this board including, but not limited, to Association of Social Work Boards.
Section 7. Issuance of License or Certification. The Board shall issue a wall certificate to the successful applicant bearing the full name of the holder, discipline designation, license or certification number, date of issuance, expiration date, and appropriate seal. The board may rely upon the documentation and verified data gathered and stored by not for profit organizations which share in the public protection mission of this board including, but not limited, to Association of Social Work Boards.
(a) Licensees and certificate holders shall register with the Board any change in their legal name, shall submit documentation demonstrating the change of name, appropriate fee and shall surrender the old wall certificate and a new wall certificate shall be issued by the Board.
(b) Each applicant, licensee and certificate holders shall file with the Board their current home and professional mailing addresses and telephone numbers and shall report to the Board in writing any change of addresses or telephone numbers, giving both old and new addresses and telephone numbers. A change in employment requires a revised disclosure statement.
(c) All changes shall be reported to the Board office within thirty (30) days of the change.
Section 9. Correction and Amendment. Any applicant, licensee or certificate holder may clarify erroneous, inaccurate or misleading information in their file by submitting a written statement to the Board which will be placed in their file.