Get Bacb Monthly Verification Form - Fill Online, Printable ...

The Bacb Monthly Verification Form is a crucial document for documenting and verifying supervised experience in behavior analysis. This guide will walk you through each section of the form, ensuring you complete it accurately and efficiently online, whether for printing or digital submission.

Follow the steps to complete the Bacb Monthly Verification Form online

1. Press the ‘Get Form’ button to access the form, which will open in your preferred document editor.
2. Enter the trainee name in the designated field to identify the person completing the form.
3. Select the experience type from the given options: Supervised Independent Fieldwork, Practicum, Intensive Practicum, or Verified Experience Instructor.
4. Fill in the BACB Account ID to link the experience to the appropriate user account.
5. Indicate the state where the experience occurred, ensuring to be specific and accurate.
6. Provide the supervisor's name in the corresponding field.
7. Select the supervisor qualification type from the available options: BCBA/BCBA-D, ABPP/ABA.
8. Input the month and year relevant to the verification period.
9. Indicate the country where the experience took place for geographical validation.
10. Complete the experience hour section by entering the number of independent hours and supervised hours, creating a total experience hours entry.
11. Calculate the percent of hours supervised by dividing the supervised hours by the total experience hours.
12. Both supervisor and trainee must review the attestation section, ensuring all statements are true and correct.
13. Both parties sign and date the form, making sure their signatures comply with the Acceptable Signatures Policy.
14. Once completed, save the document, then output it as a PDF for records keeping or for printing.

Complete your Bacb Monthly Verification Form online today to ensure timely submission!