Get Wi 2464 2018

Filling out the WI 2464 form is an essential step in documenting the competencies of applicants for counseling licensure. This guide provides clear, step-by-step instructions to help users complete this form online with confidence.

Follow the steps to successfully complete the WI 2464 form online.

1. Press the ‘Get Form’ button to access the WI 2464 form and begin the completion process in your selected editor.
2. In the first section, enter the name of the applicant using print format. Additionally, input the applicant’s training license number, ensuring accuracy.
3. In the following field, provide the name of the supervisor. This should also be printed clearly. Next, specify the supervisor's licensure and profession, along with the corresponding license number.
4. Indicate the dates during which the applicant was under the supervisor's oversight. This includes filling in the 'From' and 'To' date fields, and making sure both dates are accurately represented.
5. Document the total hours of supervised professional counseling experience in the designated section. Ensure to separately record the hours of face-to-face client contact.
6. Record the name and address of the facility where the applicant obtained client contact experience to provide context for the training.
7. Give a brief description of the clinical responsibilities the applicant held during their time under supervision. Keep this description concise but informative.
8. Once all fields are completed, make sure to review the information for accuracy. The supervisor must then sign and date the form to affirm the truthfulness of the information provided.
9. Finally, save your changes, download the completed form, print a copy for your records, or share it as necessary.

Begin the process today and complete your WI 2464 form online with ease.