Texas State Board of Examiners of Professional Counselors - Applications and Forms

When submitting documentation to the board you must submit the most current forms. 

Military Service Member, Veteran, or Military Spouse Supplemental Form

Military Spouse’s Request for Recognition of Out-of-state License

    LPC Supervision Master Checklist (Example)

    Name Change and/or Duplicate License Form 

    LPC Consumer Complaints Sign

    Continuing Education Provider Application and Provider Renewal Form 

      Texas Registration Forms for the NCE Examination for Licensure and Certification

      Supervision Log (Example)

        #F75-10757 Application for Licensure

        #F75-10759 Renewal Form

        #F75-10962 Practicum Form

        #F75-10967 Supervisor Agreement Form

        #F75-10963 Supervised Experience Documentation Form

        #F75-10966 Supervisor Application Form

        Intern-Supervisor Change Request Form

        #F75-13407 Verification of Licensure in Other Jurisdiction Form

        Inactive-Active Status Form

        Enforcement Board Ordered Supervision Form

        LPC Act, Occupations Code Ch. 503

        Last updated April 17, 2020