LMFT Out of State Experience Verification Option 1. LMFT Out of State Experience Verification Option 1 2026

1. Click ‘Get Form’ to open the LMFT Out of State Experience Verification Option 1 in the editor.
2. Begin by entering your name in the 'APPLICANT NAME' section, ensuring you include your last, first, and middle names along with your intern number.
3. Fill out the 'SUPERVISOR INFORMATION' section with your supervisor's details, including their last name, address, business phone number, license type, and license number.
4. Indicate whether the hours being reported are pre-degree or post-degree by marking the appropriate box.
5. In the 'EXPERIENCE INFORMATION' section, provide the dates of experience being claimed and specify how many weeks of supervised experience you are claiming.
6. Detail your total hours of experience, including direct counseling and non-clinical hours. Ensure that you meet the minimum requirements specified in the form.
7. Have your supervisor review and sign the form. Make sure they initial any changes made before submission.

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