Responsibility statement 2026

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The document outlines the responsibilities and requirements for supervisors of Marriage and Family Therapist trainees or associates in California, as mandated by Title 16, California Code of Regulations. It details the qualifications needed for supervisors, including licensing, experience, and training, as well as their obligations to monitor and evaluate the work of their trainees or associates. The document also emphasizes the importance of compliance with legal standards and provides a declaration statement to be signed by the supervisor.

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Click ‘Get Form’ to open the responsibility statement in the editor.
Begin by entering the name of the MFT Trainee/Associate in the designated field, ensuring accuracy for proper identification.
Next, fill in your details as the Qualified Supervisor, including your last name, first name, and middle name.
Provide your daytime telephone number to facilitate communication regarding supervision.
Review each statement carefully. Confirm your qualifications by checking the appropriate boxes and providing necessary license information where prompted.
Sign and date the form at the bottom to validate your commitment to these responsibilities before submitting it to the trainee or associate.

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