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LMFT Experience Verification In-State Option 2. LMFT Experience Verification In-State Option 2 2025

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The document is a verification form for Licensed Marriage and Family Therapist applicants in California, specifically for reporting supervised experience under the pre-existing multiple category method. It outlines the requirements for completing the form, including separate submissions for pre-degree and post-degree experiences, supervisor information, employer details, and logged hours of various therapeutic practices. The form must be signed by the supervisor and submitted with the application for licensure by a specified deadline.

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Click ‘Get Form’ to open the LMFT Experience Verification In-State Option 2 in the editor.
Begin by entering your name and associate/intern number in the designated fields. Ensure accuracy as this information is crucial for verification.
Fill out your supervisor's information, including their name, license type, and contact details. This section must be completed by your California supervisor.
Indicate whether the experience was pre-degree or post-degree by marking the appropriate box. This distinction is essential for processing your application.
Provide detailed experience information, including dates of experience and total weeks claimed. Be sure to log hours accurately across various categories such as individual therapy and group counseling.
Review all entries for completeness and correctness before signing. Your supervisor must also sign and initial any changes made on the form.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (120 Votes)
2018	4.2 Satisfied (48 Votes)
2018	4.4 Satisfied (175 Votes)
2015	4.3 Satisfied (162 Votes)

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What is a verification of experience?

Employment verification is the process of confirming a job candidates past work history. Doing so ensures the candidate has the experience necessary to perform the intended job well.