CA BBS 37A-524a 2011-2025 free printable template
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Suite S200 Sacramento CA 95834 Telephone 916 574-7830 TTY 800 326-2297 www. bbs. ca.gov MARRIAGE AND FAMILY THERAPIST WEEKLY SUMMARY OF HOURS OF EXPERIENCE FOR HOURS GAINED ON OR AFTER January 1 2010 THIS FORM SHALL BE COMPLETED PURSUANT TO TITLE 16 CALIFORNIA CODE OF REGULATIONS SECTION 1833 e. STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G* Brown Jr. Board of Behavioral Sciences 1625 North Market Blvd. Use a separate log for each supervised work setting and for...
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How to fill out CA BBS 37A-524a
01
Obtain the CA BBS 37A-524a form from the official California Board of Behavioral Sciences website.
02
Fill in your personal information in the designated fields, including your name, address, phone number, and email.
03
Provide your license or registration number, if applicable.
04
Indicate the type of application you are submitting by selecting the appropriate checkbox.
05
Complete the education and experience sections with accurate details about your qualifications.
06
If required, attach any supporting documents as specified in the form instructions.
07
Review the form for completeness and accuracy before signing.
08
Submit the completed form by mail or online, as directed in the instructions.
Who needs CA BBS 37A-524a?
01
Individuals seeking to apply for a license or registration with the California Board of Behavioral Sciences.
02
Professionals in the mental health field, such as counselors, therapists, or social workers, who are required to document their qualifications for licensure.
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What is CA BBS 37A-524a?
CA BBS 37A-524a is a regulatory form used by the California Board of Behavioral Sciences to report specific information related to licensed professionals in the field of behavioral sciences.
Who is required to file CA BBS 37A-524a?
Individuals who hold a license or certification in the field of behavioral sciences and are subject to the regulations of the California Board of Behavioral Sciences are required to file CA BBS 37A-524a.
How to fill out CA BBS 37A-524a?
Filling out CA BBS 37A-524a requires providing your personal information, licensing details, and answering specific questions related to your professional conduct and activities as required by the form's instructions.
What is the purpose of CA BBS 37A-524a?
The purpose of CA BBS 37A-524a is to ensure compliance with state regulations by collecting necessary information from licensed professionals, thereby aiding in the oversight and regulation of behavioral health practices in California.
What information must be reported on CA BBS 37A-524a?
CA BBS 37A-524a requires reporting details such as personal identification information, license or certification numbers, any disciplinary actions, and other relevant professional activity within the field of behavioral sciences.
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