Lcsw Form 4B. Web licensed clinical social worker form 4b certification of experience for licensed clinical social worker applicant instructions. Web before you accept a position practicing clinical social work.
Form 4B Updates YouTube
This form must be submitted directly by the supervisor. Nysed office of the professions. The office of the professions will not accept this form if submitted by the applicant. Read the attached appendix a and complete all of section ii. Be sure to sign the affidavit and return the entire form directly to the office of the professions at the address at the end of this form. Request your supervisor to submit verification of your supervised hours in diagnosis and psychotherapy on form 4b. Web find form 2 here: Web licensed clinical social worker. Web licensed clinical social worker form 4b certification of experience for licensed clinical social worker instructions for completing section ii: Web before you accept a position practicing clinical social work.
Read the attached appendix a and complete all of section ii. In item 3, enter your name exactly as it appears on your application for licensure (form 1). Web licensed clinical social worker form 4b certification of experience for licensed clinical social worker instructions for completing section ii: The office of the professions will not accept this form if submitted by the applicant. Web be sure to sign and date item 10. Be sure to complete a separate form 4b for each supervised experience listed on your applicant experience record (form 4). Web before you accept a position practicing clinical social work. You must also complete a separate form 4b for each supervised experience you list on the applicant experience record (form 4). This form must be submitted directly by your supervisor. This form must be submitted directly by the supervisor. Be sure to sign the affidavit and return the entire form directly to the office of the professions at the address at the end of this form.
