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Bbs ca clinical social worker experience verification form 2026

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The document is a form from the State of California's Board of Behavioral Sciences for verifying the clinical social work experience of an Associate Social Worker (ASW). It outlines the requirements for supervisors to complete the form, including providing details about the applicant's employment, supervision hours, and clinical experience. The form emphasizes the importance of accurate information and includes a warning against providing false information.

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Click ‘Get Form’ to open the bbs ca clinical social worker experience verification form in the editor.
Begin by entering your name and ASW number at the top of the form. Ensure that all information is accurate as it will be subject to verification.
Fill in your employer's information, including the name, address, and business telephone number. This section is crucial for identifying your work environment.
Answer the questions regarding the setting's compliance with clinical social work standards. Select 'Yes' or 'No' for each question based on your experience.
In the experience information section, provide dates of your supervised experience and total hours worked in various categories. Be precise to meet minimum requirements.
Complete the supervisor information section by entering your supervisor’s details, including their name, license type, and contact information.
Finally, ensure that your supervisor signs and dates the form. Any changes must be initialed by them to maintain authenticity.

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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.

What is the 6 year rule for BBS?

From the date of your application for clinical exam eligibility, the BBS will count backwards six years. Your supervised Associate experience during that six-year timeframe counts toward licensure, even if it was gained under two different registration numbers.

What is the breakdown of required experience for BBS LCSW?

What is the breakdown for the experience required to become a LCSW? California law requires 3,000 hours of supervised post-degree professional experience, including 104 supervised weeks, in order to qualify for LCSW licensure.

How many hours do you need for BBS LCSW?

California law requires 3,000 hours of supervised post-degree professional experience, including 104 supervised weeks, in order to qualify for LCSW licensure.

What counts as client contact hours?

Client contact is a professional service provided to a client, measured in increments of an hour. These increments are rounded up to the nearest half hour. For example, 20 minutes spent with a client is recorded as .

How do I verify my social worker license in California?

To verify a license, visit: DCA License Search. A link to any available disciplinary documents will be listed below an individuals license status. If the documents are not available for a discipline related matter, you may contact the Boards Enforcement Program.

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