Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Application Status Query
Instructions:
Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.
Please verify the checklist information below, including your address. If your address has changed, please
e-mail
your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.
As of
:
11/28/2023
Application#
:
762224
Name
:
Dall, Heather M
Profession
:
Social Worker, Licensed Clinical
Address
:
Hartford, WI
Application Status
:
(Permanent license issued)
Requirements Not Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Requirements Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Application Complete
Met
11/28/23: complete. CAS
---
5/8/23: temporary license issued - CAS
---
3/8/23: rec'd update app - CAS
---
3/1/23: since your application is more that one year old, please submit app with UPDATE 762224 on the top to the email that was sent to you - CAS
---
7/13/2021: on last page of application under Affidavit of Applicant you did not sign this form, please resubmit last page of application by mail to: Attn: JOINT BD, DSPS, PO Box 8935, Madison WI 53708-8935 or email to: dspscredjointbd@wisconsin.gov -ssa
4/30/2021: Your application has been received & entered. Your application has not been reviewed. Initial application review may take at least 3 weeks from the date your application was entered into the system. Thank you. (amb)
Application Fee
Met
3/20/23: rec'd fees - CAS
---
3/8/23: payment sent for processing - CAS
---
7/13/2021: Payment information provided was unable to be processed. Please resubmit payment using the Fax Payment Form 3071 & be sure to include your application # & profession in the space provided; print form 3071 at: https://dsps.wi.gov/Credentialing/General/fm3071.pdf & fax to: (608)251-3036 or pay by check including your application # & profession on the check & mail to: Attn: JOINT BD Section, PO Box 8935, Madison WI 53708-8935 - ssa
4/30/2021: No payment received with application. Please submit $ application fee to DSPS via mail by check to Attn: Joint BD Section PO Box 8935, Madison, WI 53708, or via fax by payment form 3071 to the secured number on that form. (amb) $172
Wisconsin Statutes & Rules Examination
Met
3/20/23: PASS - CAS
---
7/13/2021: Instructions & Access Information for WI Statutes & Rules Exam:
The passing score for the WI Statutes and Rules Exam is 85%
Once completed, results will not be posted immediately; they will be posted in 2-3 weeks on the website. Passing scores will be noted as met on the web checklist. If you fail, you will need to pay $75 to retake the exam and can take it after you have received new testing information. Each attempt of this exam costs $75.
You may take this test at any time. To do so:
Go to www.dsps.wi.gov
Click on any social worker (or other social work profession)
Click on Exam information
Click on the link in Step 3 of the Instructions
When on ParTest Online you will need the following:
Test name and password: SWK13A
Student ID: Is your application ID
Holds APSW credential?
Met
7/13/21: APSW 128401-121. Granted 9/15/11. Temp granted 6/21/11 -ssa
Official Transcript of Graduate Degree Rec'd @ DSPS from School
Met
8/31/22: Rec'd - ras
7/13/21: NEED: Transcripts from master’s degree sent directly from school to: "DSPS, ATTN: SW Section, PO Box 8935, Madison WI 53708." – ssa
List of Courses Received (Form #2673)
Met
3/8/23: rec'd syllabus - CAS
---
8/31/2022: Rec’d form 2673. As your psychopathology course was not titled EXACTLY "Psychopathology in SW" please submit syllabus for that class only.- ras
7/13/21: Pending review with official transcripts. -ssa
Supervised Clinical Field Training (Form #2672) Rec'd
Met
4/26/23: submitting as is; may need an update
---
7/13/2021: Received from applicant. Please have school or supervisor/s submit form 2560 to DSPSCredJointBD@wisconsin.gov – ssa
Post-graduate Clinical Experience (Form #2560) Rec'd from Supervisor
Met
4/26/23: submitting as is; may need update - CAS
---
3/1/23: rec'd 2388 total hours including 1192 face-to-face hours with Rahn; NEED updated form from Sawyer - CAS
---
7/13/2021: Received forms from applicant. Form pertaining Sawyer have start date prior to APSW being issued. Form pertaining Rahnhas end date stated as "present". Unable to use the word "present", an actual date is needed. Please have supervisors resubmit forms 2560 to DSPSCredJointBD@wisconsin.gov – ssa
Social Worker - Clinical Test
Met
11/27/23: PASS - LJM
11/27/23: PASS. CAS
-------------------
3/1/23: approval extended for an additional 12 months from today’s date, to register & pay for the exam call (800)225-6880 or go online at: www.aswb.org - CAS
---
7/13/2021: You have been approved to take the ASWB National Social Worker Examination at the following level: CLINICAL authorization has been sent to ASWB. THIS AUTHORIZATION IS GOOD FOR A PERIOD OF 12 MONTHS. Letters will no longer be issued. You are now authorized to register and pay for the exam by either calling at 1-800-225-6880 or online at www.aswb.org. The ASWB handbook may be found at www.aswb.org. Your name on this application checklist approval and your driver’s license must be the same. If the name does not match, you will not be allowed to take the exam. Submit any name or address changes to dspscredjointbd@wisconsin.gov . If all other requirements are complete, your credential will be issued by DSPS upon notification from ASWB of your passing score. This process takes 2-3 weeks. You may retake the exam after waiting 90 days between each failed exam. – ssa
Reviewed by Section
Met
5/8/23: Approved by Board Liaison - CAS
---
4/26/23: application sent to Board Liaison for review - CAS
---
7/13/21: Once all documentation has been received, file will be sent to board liaison for review. – ssa
Approved by Section
Met
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