FORMS

File a Complaint

Person Registering Complaint


Person Complaint is Being Registered Against

Is the Social Worker licensed by this Board?

Did you have difficulty locating the telephone number and/or address for this Board? If so, please describe the problem.

Include specific details such as names, dates, particulars about the alleged violation(s), or any other pertinent facts.

If you have any additional documentation regarding this complaint that you would like to provide to the Board, please mail them to:
18550 Highland Road
Suite B
Baton Rouge, LA 70809

I, the undersigned, by filing this complaint, do authorize the Louisiana State Board of Social Work Examiners to investigate and resolve this matter in accordance with the Board's rules and regulations.

By typing your name in the signature field, you are signing this agreement electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this agreement.

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