Bacb monthly verification form 2026

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  1. Click ‘Get Form’ to open the BACB Monthly Verification Form in the editor.
  2. Begin by entering your name and the date you completed the Experience Standards Training Module. This information is crucial for verifying your eligibility.
  3. In Section A, accurately fill in the hours accumulated during your experience, ensuring to separate independent experience hours from supervision hours.
  4. Select the type of experience obtained by checking only one box: Supervised Independent Fieldwork, Practicum, or Intensive Practicum.
  5. Complete the time-frame section with specific start and end dates for your experience. Avoid using 'present' as a date.
  6. Have your supervisor complete Section B, where they will attest to your experience under their supervision. Ensure they provide their original signature.

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Documentation Audit or Review: The BACB reserves the right to audit, reconsider, or decline any documentation submitted to the BACB by any individual should the BACB have reason to question the accuracy of the documentation or the accuracy of the person signing the document, no matter when the documentation was
Hours accrued under the concentrated supervised fieldwork are accrued at a value of 1.33x the supervised fieldwork. Therefore, use a multiplier of 1.33 for any months that you accrue hours per the concentrated fieldwork requirements. Talk to your supervisor about how to do this.
The timeline of becoming a BCBA is influenced by several components, such as required education, work experience, and certifications. However, on average it takes about six to eight years to become a BCBA.
No fewer than 20 hours but no more than 130 hours of fieldwork may be counted per month. Fieldwork hours include independent hours (supervisor not present) and supervised hours (supervisor present).
Total Months Required: 12.5 months (1500 hours / 120 hours per month)

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This form must be signed by the last day of the calendar month following the month of supervision, and both you and your supervisor must retain copies. Once youve completed all of your fieldwork and met all of the requirements, your supervisor will sign your Final Fieldwork Verification Form.
The Behavior Analyst Certification Board (BACB) requires that all candidates for Board Certified Behavior Analyst (BCBA) certification complete a period of supervised experience. At the end of this period, the supervisor and the candidate must complete an Experience Verification Form.

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