Get F76 10797 Supervisory Responsibility For Slp Assistants Form

This guide provides clear and detailed instructions for filling out the F76 10797 Supervisory Responsibility For SLP Assistants Form online. It aims to support users in completing the form accurately, ensuring compliance with relevant supervisory requirements.

Follow the steps to complete the F76 10797 form effectively.

1. Press the ‘Get Form’ button to access the form and open it in the online editor.
2. In the first section, provide the proposed supervisor’s name. This is essential for identification purposes.
3. Enter the proposed supervisor’s fax number, ensuring it is not the board's fax number.
4. Both the proposed supervisor and the assistant must review the specified Board Rules. Indicate that this review has taken place.
5. Complete the section for the assistant by providing their full name and Texas license number. Select the appropriate checkbox that describes the assistant's current situation (initial license, change of supervisor, or additional supervisor).
6. If applicable, list any additional supervisors along with their license numbers to ensure all supervisory figures are documented.
7. Fill out the number of clients that the assistant will serve, which is crucial for compliance with supervision regulations.
8. Provide the employer's name and the specific address where the assistant will be supervised, including city, state, and zip code.
9. Complete the phone number field for the employer, ensuring it is formatted correctly.
10. The assistant must sign the form, confirming they have read the relevant codes and understand their responsibilities.
11. The proposed supervisor must also sign the form, certifying their understanding of their supervisory responsibilities and agreement to comply with all stated conditions.
12. After completing all fields, review the form for any omissions or inaccuracies. Incomplete forms may be returned and delay approval.
13. Save your changes, and choose to download, print, or share the completed form as needed.

Complete your F76 10797 Supervisory Responsibility For SLP Assistants Form online to ensure timely processing.