37a 522 statement 2025

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The document outlines the responsibilities and requirements for supervisors of Associate Clinical Social Workers in California, as mandated by Title 16 of the California Code of Regulations. It details the qualifications a supervisor must possess, including licensing, experience, training in supervision, and compliance with legal regulations. The supervisor is required to complete a signed statement confirming their eligibility to supervise associates and must provide oversight and evaluation of the associate's clinical work.

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Click ‘Get Form’ to open the 37a 522 statement in the editor.
Begin by entering the associate's name and ASW number in the designated fields at the top of the form.
Next, input your name as the supervisor and ensure you check the box confirming your licensure status in California. Fill in your license type and number, along with issue dates as required.
Proceed to affirm your compliance with all supervisory requirements by reviewing each statement carefully. You may need to provide additional documentation for certain sections, such as training hours.
Complete any remaining sections regarding your supervisory plan and ensure that you sign and date the form at the bottom before submitting it.

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Versions	Form popularity	Fillable & printable
2020	4.9 Satisfied (40 Votes)
2018	4.4 Satisfied (132 Votes)
2010	4.3 Satisfied (158 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How many hours of supervision are required for LCSW in California?

Accrue Supervised Experience: Post graduation, accumulate at least 3,000 hours of supervised work experience in clinical social work. This takes a minimum of two years.

What is Title 16 CCR section 1821?

Title 16, California Code of Regulations (16 CCR) section 1821 requires any qualified licensed mental health professional who assumes responsibility for providing supervision to an individual working toward licensure as a Licensed Professional Clinical Counselor (LPCC) to complete and sign, under penalty of perjury,

What is a 37A 521 form?

CA BBS 37A-521 is a form used by the California Board of Behavioral Sciences for reporting continuing education hours for license renewal.

How much does LCSW supervision cost per hour?

Look at your income and determine what can you afford to spend on your supervision. Depending on the LCSW Supervisor, you will find a wide fee range in terms of cost per hour. I have seen costs range from $25 per hour to $150 per hour.

What are the changes in BBS supervision 2025?

Effective January 1, 2025, the law has been changed to state that supervisors in nonexempt settings cannot serve as individual or triadic supervisors for more than a total of six persons at any one time who are: 1) Receiving supervision for providing clinical mental health services in a nonexempt setting; and 2) Not

What are the objectives of social work supervision?

Professional Social Work supervision aims to solidify practice frameworks, understanding of theories, addressing ethical dilemmas and professional integrity and development.

37a 522 statement 2025

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