Get Fl Mcap On-the-job Supervision Verification Form 2019-2025

Completing the FL MCAP On-the-Job Supervision Verification Form is essential for documenting your clinical supervision hours for certification. This guide provides step-by-step instructions to ensure you fill out the form accurately and efficiently online.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the FL MCAP On-the-Job Supervision Verification Form.
2. Begin with Part One, which is to be filled out by the applicant. You will need to provide your name, type of position, and employment dates in the format MM/DD/YYYY to MM/DD/YYYY. Ensure all information is typed.
3. Once Part One is complete, provide the form to your qualified supervisor for them to complete Part Two. This section requires detailed supervisor information, including name, title, employer, contact details, and attestation of their qualifications.
4. In Part Two, the qualified supervisor will also need to document hours of supervision across various performance domains. They should indicate the number of hours for individual and group supervision, ensuring that the total group supervision does not exceed 50% of the required hours.
5. After the supervisor has filled in their information and hours of supervision, both the applicant and supervisor must sign the form. Digital signatures are acceptable.
6. Finally, save the completed form. You can download it for your records, print it, or share it directly with the Florida Certification Board via email or fax as specified in the form.

Complete your FL MCAP On-the-Job Supervision Verification Form online today to advance your certification process.