Get Monthly Fieldwork Verification Form

The Monthly Fieldwork Verification Form is an essential document for tracking supervised fieldwork and ensuring compliance with behavioral analysis requirements. This guide will provide you with straightforward, step-by-step instructions for completing the form online, ensuring a smooth submission process.

Follow the steps to complete your form effectively

1. Click ‘Get Form’ button to acquire the Monthly Fieldwork Verification Form and open it for editing.
2. Enter the trainee's name in the designated field for clear identification. This field is crucial for tracking the specific individual's fieldwork.
3. Select the type of fieldwork you are reporting by checking the appropriate box — either 'Supervised Fieldwork' or 'Concentrated Supervised Fieldwork.'
4. Fill in the month and year of the report in the provided fields to accurately represent the time frame for the fieldwork.
5. Input your BACB Account ID. This identification is important for linking your submission to your professional record.
6. Specify the state and country where the fieldwork occurred. Providing this information ensures compliance with regional regulations.
7. In the Responsible Supervisor Name section, enter the supervisor's name who oversaw the fieldwork activities.
8. Select the responsible supervisor's qualification type by checking one of the options: BCBA/BCBA-D, Verified Instructor, or ABPP/ABA.
9. Document the fieldwork hours spent during the month by entering the independent hours (when the supervisor was not present) and supervised hours (when the supervisor was present) in the corresponding fields.
10. Calculate the total fieldwork hours by summing the independent and supervised hours, and input this total in the designated area.
11. Next, calculate the percent of hours supervised by dividing the supervised hours by total hours and entering this percentage in the appropriate field.
12. Both the supervisor and trainee must review the attestation statements and sign in the respective signature areas, confirming the accuracy of the information provided.
13. After completing all fields, ensure to save your changes, and then download, print, or share the form as necessary to retain a copy for your records.

Ensure your documentation is accurate and compliant by completing your Monthly Fieldwork Verification Form online today.