Form 4B Updates YouTube
Lcsw Form 4B. In item 3, enter your name exactly as it appears on your application for licensure (form 1). Nysed office of the professions.
Web licensed clinical social worker. The office of the professions will not accept this form if submitted by the applicant. Web licensed clinical social worker form 4b certification of experience for licensed clinical social worker instructions for completing section ii: Request your supervisor to submit verification of your supervised hours in diagnosis and psychotherapy on form 4b. Read the attached appendix a and complete all of section ii. Web be sure to sign and date item 10. Web complete and submit this form, making sure to sign and date item 10; This form must be submitted directly by your supervisor. Web before you accept a position practicing clinical social work. This form must be submitted directly by the supervisor.
Web find form 2 here: Web licensed clinical social worker form 4b certification of experience for licensed clinical social worker instructions for completing section ii: The office of the professions will not accept this form if submitted by the applicant. Read the attached appendix a and complete all of section ii. Web licensed clinical social worker form 4b certification of experience for licensed clinical social worker applicant instructions. Applicants must hast supervised experience approved in order to meet licensing eligibility. Assigned number (from form 4): Web licensed clinical social worker. Licensed clinical social worker form 4, page 2 of 2, revised 8/17. Web complete and submit this form, making sure to sign and date item 10; Request your supervisor to submit verification of your supervised hours in diagnosis and psychotherapy on form 4b.
