Get the free LCSWVerifSupv.doc - ct

STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH VERIFICATION OF SUPERVISION Applicant's Name Phone Mailing Address Agency/Organization Employed by Name of Supervisor Title Dates Employed: from to

How to fill out lcswverifsupvdoc - ct

How to fill out lcswverifsupvdoc - ct:

1. Start by accessing the official website of the Connecticut Department of Public Health.
2. Look for the section or page dedicated to licensing or verification forms.
3. Locate the lcswverifsupvdoc - ct form and click on it to download or open it.
4. Read through the instructions provided on the form to understand the requirements and guidelines for filling it out.
5. Provide your personal information in the required fields, such as your full name, contact information, and any other necessary details.
6. If applicable, enter your current license information, including the license number, expiration date, and any other relevant information.
7. Fill out the section regarding your supervised practice, including the name and contact information of your supervisor(s) and the dates of your supervision.
8. If there is a fee associated with submitting the lcswverifsupvdoc - ct form, make sure to include the necessary payment or attach proof of payment.
9. Double-check all the information you have entered to ensure accuracy and completeness.
10. Once you have filled out the form completely, submit it according to the instructions provided, either by mail or online.

Who needs lcswverifsupvdoc - ct:

1. Licensed Clinical Social Workers (LCSWs) who are seeking to verify their supervised practice in the state of Connecticut.
2. LCSWs who are applying for licensure in another state and need to provide documentation of their supervised practice in Connecticut.
3. Employers or organizations that require confirmation of a social worker's supervised practice in Connecticut.

For pdfFiller’s FAQs

What is lcswverifsupvdoc - ct?

lcswverifsupvdoc - ct is a document used for verifying supervision of licensed clinical social workers.

Who is required to file lcswverifsupvdoc - ct?

Licensed clinical social workers who are supervising other social workers are required to file lcswverifsupvdoc - ct.

How to fill out lcswverifsupvdoc - ct?

To fill out lcswverifsupvdoc - ct, the supervisor needs to provide details about the supervision provided to the social worker.

What is the purpose of lcswverifsupvdoc - ct?

The purpose of lcswverifsupvdoc - ct is to document and verify the supervision provided to licensed clinical social workers.

What information must be reported on lcswverifsupvdoc - ct?

Information such as the dates of supervision, types of supervision provided, and a summary of the supervision sessions must be reported on lcswverifsupvdoc - ct.

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