License Type Form
Associate Counselor (LAC) Application*
Professional Counselor (LPC) for existing LAC  Application*
Professional Counselor (LPC) Application*

* Form is a fillable .pdf.  For best results, download the form, save and open it with Adobe.  Do not print double-sided.  

Forms for LPC Applicants Print Submit
Verification of Supervised Work Experience PRINT PDF SUBMIT ONLINE
Verification of Clinical Supervision PRINT PDF SUBMIT ONLINE
Clinical Supervisor Exemption Request   SUBMIT ONLINE


  • Employers and Supervisors can now utilize the forms above to submit the required verification forms for their supervisees.  To utilize the Submit Online option, the supervisee must have already submitted an application or be applying within 3 months. Forms may not be submitted directly from a supervisee unless they are in a signed, sealed envelope with an application.
  • For information on acquiring supervised work experience and clinical supervision click here.

Approved or Accredited programs

  • To verify if your masters degree is CACREP accredited or previously approved by the Board, click here.

Testing Information


If an applicant believes they meet the requirements of A.R.S. § 41-1080.01, please contact the Board at (602) 542-1882 for more information.