2020 MFT License Renewal

License Renewal Form

1 Directions
2 Basic Information
3 Additional Licenses & Certifications
4 Continuing Education
5 Renewal Affadavit
6 Review and Submit
  • Directions

    There are four sections to the renewal form:

    1. 1. Basic Information
    2. 2. Additional Licenses & Certifications
    3. 3. Continuing Education
    4. 4. Renewal Affadavit (Requires reading some documents- links provided below)
      • Marriage & Family Therapy General Statutes
      • North Carolina Administrative Code for Marriage & Family Therapy Licensure Board
      • AAMFT Code of Ethics
      • Employee Fair Classification Act Public Notice Statement

    You may save and continue this form for 30 days.

    At the bottom of each page of the form, you can click "Next" to move on to the next section, or you may click "Save and Continue Later." If you click to save and continue later, you will receive a link on the screen that can be used from any device to come back and continue.

    You can also choose to have the continuation link emailed to you. so you don't lose the specific link for your entry. The tech configurations do not allow the Board to re-generate the save and continue link, so if you can not find it, you will have to start your renewal over again.

    Preview your form and review all of the info before you submit it.

    Once you enter in all of the requested information, you can preview your submission to make sure everything is correct, before you sign the online renewal form.

    To sign the renewal form:

    If you are using a phone, tablet, or touch screen computer, you can use your finger to sign. If you are on a computer and you do not have a touch screen, you can use the mouse to sign your name in the appropriate place.

    Submit & Pay

    Once you click on "Submit," you will taken to the PayPal page to complete payment. You do not need a PayPal account to submit payment. Look beneath the area to enter your login, and you will see a link to click to enter in a debit or credit card to pay.

    Submission Confirmation

    After submitting your payment, the screen will pause for a moment. Within 5-10 seconds, you will be brought back to the Board website for a confirmation message.

    Please make sure you wait for the screen to change with the confirmation message to make sure it went through in the system.

    You will receive a copy of your submission, along with your new PDF that updates your license expiration date. Please save that PDF. The PDF will no longer be available for download on the verification page of the website. Online verification will still be there- but there is no option to download your data on a PDF. Once the Board has reviewed and approved your information, it will appear on the verification page of the website.

    You may use the buttons at the top of this form to
    navigate back to this screen at any time.
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  • Personal Contact Information

  • Professional Contact Information

  • MFT License Information

    You may need to refer to the current information attached to your North Carolina MFT license. You will find your license number, the date you were initially licensed, the expiration date, your license type, and if you have a public record currently connected to your license are all available on this website at: https://www.ncbmft.org/verify/
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  • Additional MFT and other Mental Health Related Licenses

  • Drop files here or
  • Additional Licenses and Certifications

    List the name of the license/certificate and include the state or group who issued it in the name. For example: South Carolina Licensed and Family Therapist, National Board Certified Counselor, National Council on Family Relations Certified Family Life Educator.
  • Second Additional License/Certificate

  • Third Additional License/Certificate

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  • Continuing Education Courses

    All courses entered here must have been completed between July 1, 2019 and June 30, 2020.* You must complete 20 contact hours of continuing education each year. Of those 20 hours, at least 3 hours must be in ethics. Applications without an ethics course will not be accepted, and your renewal will not be accepted. Courses completed prior to July 1, 2019 will not be counted towards your renewal requirements, even if they were completed after you renewed for the 2019-2020 renewal year.
  • *First Time Renewal

    If this is your first time renewing your license, then your coursework may be counted from BEFORE July 1, 2019. Your first license allows you to have a minimum of one full calendar year before you renew. You are able to list and use continuing education contact hours and/or supervision that occured from the date your license was first issued through the date you submit your renewal or June 30 (which happens first). Consult with your supervisor if you have additional questions, or refer to the letter that came with your license.
  • Ethics Courses

    List your ethics courses under this section. If you have more ethics courses and run out of space, list those in the other section of the form for additional coursework. You need a minimum of 3 hours of MFT/mental health ethics each year. Most people complete these with one course. There are additional spaces if you needed more than one course to complete the required 3 hours. You do NOT need 3 separate courses for ethics- just 3 contact hours of continuing education. If you enter in 3 hours of ethics in the first ethics course section, you do NOT need to list any other courses under ethics. You may list your MFT Content courses, supervision, or courses that you presented in the next section.
  • Ethics Course 1

  • Please enter a number from 0 to 40.
  • Ethics Course 2

  • Please enter a number from 0 to 40.
  • Ethics Course 3

  • Please enter a number from 0 to 40.
  • Additional Coursework

    How many more continuing education COURSES (not hours) do you have to enter in to meet the minimum requirements for licensure renewal (20 total contact hours, with three of those being in mental health ethics). You can come back and adjust this answer to see more places to list courses, if needed.
  • Course 2

  • Please enter a number from 0 to 40.
  • Course 3

  • Please enter a number from 0 to 40.
  • Course 4

  • Please enter a number from 0 to 40.
  • Course 5

  • Please enter a number from 0 to 40.
  • Course 6

  • Please enter a number from 0 to 40.
  • Course 7

  • Please enter a number from 0 to 40.
  • Course 8

  • Please enter a number from 0 to 40.
  • Course 9

  • Please enter a number from 0 to 40.
  • Course 10

  • Please enter a number from 0 to 40.
  • Course 11

  • Please enter a number from 0 to 40.
  • Course 12

  • Please enter a number from 0 to 40.
  • Course 13

  • Please enter a number from 0 to 40.
  • Course 14

  • Please enter a number from 0 to 40.
  • Course 15

  • Please enter a number from 0 to 40.
  • Course 16

  • Please enter a number from 0 to 40.
  • Course 17

  • Please enter a number from 0 to 40.
  • Course 18

  • Please enter a number from 0 to 40.
  • Course 19

  • Please enter a number from 0 to 40.
  • Total Continuing Education Contact Hours

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  • MFT Renewal Affadavit

    DIRECTIONS: Read each statement below. Select the truthful answer for each of them. Attach any statements, supporting documentation, or information as directed during the entry process. Answering these statements dishonestly can jeopardize your license. Acknowledgement of situations does not mean you will lose your license. The Board prefers ethical and honest disclosure of situations, rather than omission of situations.
  • Affirmation 1

  • Drop files here or
  • Affirmation 2

  • Affirmation 3

  • Drop files here or
  • Affirmation 4

    You will need to read over the links below to properly affirm in the next question.

    • Marriage & Family Therapy General Statutes
    • North Carolina Administrative Code for Marriage & Family Therapy Licensure Board
    • AAMFT Code of Ethics

  • Affirmation 5

    You will need to read over the link below to properly affirm in the next question.

    • AAMFT Code of Ethics
  • Drop files here or
  • Affirmation 6

  • Affirmation 7

  • Drop files here or
  • Affirmation 8

    You will need to read over the link below to properly answer the question below. You will need to select two answers below.

    • Employee Fair Classification Act Public Notice Statement
  • Drop files here or
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  • Review & Submit

    Review the information displayed below to ensure everything is correct. If you need to change anything, use the navigation section just above to move back to adjust. If everything is correct, proceed to the signature and payment section to submit your license renewal. The signature field will not appear if any of the renewal form is incorrect - such as the year not correctly entered as 4 digits, not enough continuing education hours or affirmations are not checked. You will need to go back through the form to make sure everything is correct, and you have met all the requirements.
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  •     How to Submit:

    1. The signature box is coded to only show up if you have completed all of the required parts of this form. If you do not see the signature box below, that means there is an error on your form. Either you have forgotten to complete a required section, or something you have entered is not correct. Please go back and review the entire form to make sure everything is correct. The form submission is coded to check for specific areas, as required by statutes and the administrative code, for license renewal.
    2. Sign below.
      • Option 1: Sign using your mouse or the touchpad on your computer.
        Option 2: Sign using your phone or tablet.
        Option 3: If you are on your computer, click "Save and Continue" option and enter your email address. Open your email on your phone and click the link. Navigate to the "Review & Submit" section, and use your finger on the screen of your phone to sign. Finish the process on your phone.
    3. Enter the date
    4. Click submit
    5. Enter your payment.
    6. While you are entering your payment information, you may receive an email confirming the submission of your renewal form. The payment has not been entered and gone through until you get to the confirmation page in the next step, so please continue submitting your payment information.
    7. You do not need a PayPal account to complete the payment. As part of the move to go green, the Board is only accepting payments online. If you would like to pay from your credit/debit card, click on the link that displays below the option to login to a PayPal account.
    8. Wait for the screen to bring you back from PayPal to this site
    9. You will then see a confirmation message to ensure you that your renewal form went through.

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