Lcsw Form 4B. Web licensed clinical social worker. Web complete and submit this form, making sure to sign and date item 10;
Form 4B Updates YouTube
Web before you accept a position practicing clinical social work. Applicants must hast supervised experience approved in order to meet licensing eligibility. Web licensed clinical social worker form 4b certification of experience for licensed clinical social worker instructions for completing section ii: Web licensed clinical social worker form 4b certification of experience for licensed clinical social worker applicant instructions. You must also complete a separate form 4b for each supervised experience you list on the applicant experience record (form 4). This form must be submitted directly by the supervisor. Nysed office of the professions. Be sure to complete a separate form 4b for each supervised experience listed on your applicant experience record (form 4). Read the attached appendix a and complete all of section ii. Web complete and submit this form, making sure to sign and date item 10;
Be sure to complete a separate form 4b for each supervised experience listed on your applicant experience record (form 4). Web before you accept a position practicing clinical social work. This form must be submitted directly by your supervisor. This form must be submitted directly by the supervisor. Assigned number (from form 4): Be sure to sign the affidavit and return the entire form directly to the office of the professions at the address at the end of this form. Licensed master social worker (lmsw) licensed clinical social worker (lcsw) For your experience to be considered, you must also complete section i of form 4b and forward the entire form and a copy of appendix a to each supervisor you list in item 9 on this form. Nysed office of the professions. Licensed clinical social worker form 4, page 2 of 2, revised 8/17. The office of the professions will not accept this form if submitted by the applicant.
