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The document is a verification form for applicants seeking licensure as Licensed Professional Clinical Counselors in California. It requires supervisors to confirm the applicant's supervised experience, detailing the nature of the work setting, hours logged, and compliance with state regulations. The form must be completed accurately and submitted with the application for examination eligibility.

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Click ‘Get Form’ to open the bbs form in the editor.
Begin by entering the applicant's name in the designated fields, ensuring clarity and accuracy.
Next, have your supervisor complete their section. They should provide their name, business phone, and address clearly.
Fill out the experience verification questions. Answer 'Yes' or 'No' as applicable for each question regarding the nature of your experience.
Indicate the dates of experience claimed by filling in the 'From' and 'To' fields with mm/dd/yyyy format.
Log your hours of supervised experience in the respective categories provided, ensuring that totals do not exceed specified limits.
Finally, have your supervisor sign and date the form to validate its accuracy before submission.

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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.

Which documents cannot be signed electronically?

Documents that are, by law, not allowed to be signed electronically includes: Sales Agreements for land or buildings. Wills. Any document where another type of signature (i.e. non-electronic) has been agreed to. Any document where the law requires another type of signature. Long term lease agreements of 20 years and longer.

Can BBS forms be signed electronically?

The 90-day rule is a clause in the law that allows applicants for registration as an Associate Marriage and Family Therapist, Associate Professional Clinical Counselor, or Associate Clinical Social Worker (Associate), to count supervised experience gained during the window of time between the degree award date and

Can Hipaa release forms be signed electronically?

The HIPAA e-signature requirements at present are that e-signatures can be used to sign contracts, documents, agreements, or authorizations provided the content of the contracts (etc.)

What cannot be electronically signed?

Documents that have to be filed or registered with a government agency may be subject to requirements that preclude electronic form. If a document has to be notarised that may in practice require a paper document. In some cases, but not often, the law stipulates use of a particular kind of electronic signature.

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What is BBS certification?

Only application forms require original signatures All other forms, such as weekly logs of supervised experience, Supervision Agreements, and Verification of Experience, can be submitted with digital or sign-and-scan signatures.

Can forms be signed electronically?

You can use a digital signature for many of the same reasons that you might sign a paper document. A digital signature is used to authenticate digital information such as form templates, forms, e-mail messages, and documents by using computer cryptography.

Bbs forms 2026

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What is the 6 year rule for BBS?

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What cannot be electronically signed?

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