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Get CA 37A-524 2011-2024

Y: (800) 326-2297 WEB SITE ADDRESS: http://www.bbs.ca.gov * Note: Child Counseling can be logged in any appropriate category as specified by your supervisor. THIS FORM SHALL BE COMPLETED PURSUANT TO TITLE 16, CALIFORNIA CODE OF REGULATIONS SECTION 1833(e). (Use a separate log for each supervised work setting and for each status indicated below.) YEAR _______________ FOR HOURS GAINED BEFORE JANUARY 1, 2010 BBS File No. (if known) ________________ Name of MFT Intern/Trainee Work Setting: ___.

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