01. Edit your agency affiliated counselor registration application packet online
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Doh wa AgencyAffiliatedCounselorAgency Affiliated Counselor :: Washington State Department of 2026
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- Click ‘Get Form’ to open the Agency Affiliated Counselor Employment/Student Verification Form in the editor.
- Begin by filling in your name and credential number in the designated fields at the top of the form. Ensure that this information is accurate and clearly printed.
- Next, indicate your type of agency affiliated counselor by marking all applicable options: Employee, Juvenile Probation Counselor, or Student Intern.
- Select one option regarding your agency status: New Agency, Update/Change Agency, or Additional Agency.
- Provide the agency or facility employer name and physical address. Make sure to include city, state, and zip code for clarity.
- Confirm that your agency meets the necessary criteria as outlined in WAC 246-810-016 and WAC 246-810-015 by checking the appropriate box.
- Finally, have an authorized employee sign and date the form before submitting it to the provided address.
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