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Agency Affiliated Counselor Employment Verification Form

Agency Affiliated Counselor Employment Verification Form 2026

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The document outlines the process for Agency Affiliated Counselor Credentialing in Washington State, including employment verification requirements, the necessity of a criminal background check before unsupervised counseling, and the obligation for counselors to notify the Department of Health regarding their employment status. It includes a form for employers to verify the employment of agency affiliated counselors.

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Click ‘Get Form’ to open the Agency Affiliated Counselor Employment Verification Form in our platform.
Begin by selecting the appropriate option for your situation: 'New Agency', 'Update/Change Agency', or 'Additional Agency'. This helps clarify your employment status.
In the designated fields, enter the applicant's name and credential number clearly. Ensure accuracy as this information is crucial for verification.
Fill in the agency or facility employer name, followed by the physical address, city, state, and zip code. Double-check these details to avoid any processing delays.
Confirm that your agency meets the necessary criteria as outlined in WAC 246-810-016 and WAC 246-810-015. This ensures compliance with state regulations.
Finally, have an authorized employee sign and date the form. This signature validates the employment verification and must be completed before submission.

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Versions	Form popularity	Fillable & printable
2023	4.6 Satisfied (49 Votes)
2021	4.5 Satisfied (50 Votes)
2014	4.2 Satisfied (26 Votes)

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What is an agency Counselling?

Agency counseling offers therapy inside an organization, like a community mental health center or a nonprofit organization. Here, multiple professionals collaborate in one setting or office.

What is considered a Washington state agency?

RCW 42.17. 020 (Public Officers and Agencies, Open Public Meetings Act, Definitions). Agency includes all state agencies and all local agencies. State agency includes every state office, department, division, bureau, board, commission, or other state agency.

What is an AAC in Washington state?

Certified agency affiliated counselor (CAAC) means a person certified under chapter 18.19 who is engaged in counseling to the extent authorized in (section 18). The certified AAC credential requires a bachelors degree in counseling or the social sciences and five years of supervised experience.

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