Wyo. Code R. 078-0001-12
Effective Date: 09/29/2010 to 06/03/2015
Rule Type: Superceded Rules & Regulations
Reference Number: 078.0001.12.09292010
(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 review an individual's credentials prior to receiving a complete application.
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. (c) Professional references from three (3) professionals with at least six (6) months of direct knowledge of the applicant's abilities and professional performance in the discipline for which the license or certification is requested;
(i) References shall have been written within six (6) months of the date of application.
(ii) References shall not be accepted from relatives of the applicant.
(d) 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. (e) All documents submitted in support of the application shall contain an original signature and be submitted directly to the office of the Board from the respondent and not forwarded through the applicant. (f) Completion of all requirements for licensure shall be documented within one (1) year of the date the application was received by the Board, otherwise the application will be deemed incomplete and closed without further notice. (g) Completion of all requirements for certification shall be documented within six (6) months of the date the application was received by the Board, otherwise the application will be deemed incomplete and closed without further notice. (h) The Board shall not accept faxed or photocopied documents.
Section 3. Application for Licensure by Examination. In addition to the documents required in Section 2 of this chapter, the designated qualified clinical supervisor(s) of the applicant shall submit complete Verification and Evaluation of Supervised Experience forms.
Section 4. Application for Licensure by Reciprocity. In addition to the documents required in Section 2 of this chapter, 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.
Section 5. Application for Certification by Examination. In addition to the documents required in section 2 of this chapter, the designated qualified clinical supervisor of the applicant shall submit a complete Certificate Supervision Agreement.
Section 6. Application for Certification by Reciprocity. In addition to the documents required in Section 2 of this chapter, 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.
Section 7. Notification of Applicants and Right of Appeal. If the applicant's initial application is denied, the reasons for this rejection shall be communicated in writing. The applicant shall have the right to request reconsideration of the application materials, and may further request a hearing before the Board in accordance with the Wyoming Administrative Procedures Act.
Section 8. 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 serial number, date of issuance, expiration date, and appropriate seal.
(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 revised disclosure statement shall accompany any change in employment.
(a) Release of Board records shall be governed by W.S. 16-4-201 et seq., The Public Records Act.
(b) Any applicant, licensee, certificate holder, or others with proper notarized written consent may personally inspect the contents of their application, license, or certification file with the exception of the documents specified in the Public Records Act.
(c) Record inspection shall take place under the following conditions:
(i) An appointment shall be made to review the file between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday at the offices of the Board.
(ii) Record inspection shall take place in the presence of a member of the Board or a representative of its administrative staff.
(iii) Original documents shall remain with the Board but may be copied at the Board offices for a reasonable fee to be paid by the individual making such request.
Section 11. 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.