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Certified Addiction Counselor On-the-Job Supervision Verification Form Directions Thank you for taking the time to document the direct supervision you provided to applicant named in Part 1 of this

How to fill out cac on-the-job supervision verification

How to fill out CAC on-the-job supervision verification:

1. Obtain the CAC on-the-job supervision verification form from your supervisor or HR department.
2. Fill in your personal information, including your name, job title, and employee identification number.
3. Indicate the start and end date of the supervision period for which you are seeking verification.
4. Provide details about your direct supervisor, including their name, job title, and contact information.
5. Specify the nature of the supervision received, such as regular check-ins, performance evaluations, or training sessions.
6. Describe the specific tasks and responsibilities you were supervised for during the designated period.
7. If applicable, provide any additional information or accomplishments relevant to your on-the-job supervision.
8. Sign and date the form to certify the accuracy of the information provided.
9. Submit the completed CAC on-the-job supervision verification form to the appropriate department or individual for processing.

Who needs CAC on-the-job supervision verification?

1. Employees who are required to undergo on-the-job supervision based on their job position or company policy.
2. Individuals seeking professional certifications or licenses that require proof of supervised experience.
3. Interns or trainees who need to fulfill supervision requirements as part of their educational program or apprenticeship.

For pdfFiller’s FAQs

What is cac on-the-job supervision verification?

CAC on-the-job supervision verification is a process to verify and document that a certified addiction counselor has received adequate on-the-job supervision required for their certification.

Who is required to file cac on-the-job supervision verification?

Certified addiction counselors are required to file cac on-the-job supervision verification.

How to fill out cac on-the-job supervision verification?

To fill out cac on-the-job supervision verification, certified addiction counselors must provide details of their supervisory experience and the number of hours of supervision received.

What is the purpose of cac on-the-job supervision verification?

The purpose of cac on-the-job supervision verification is to ensure that certified addiction counselors have met the required supervision standards for their certification.

What information must be reported on cac on-the-job supervision verification?

Certified addiction counselors must report details of their supervisory hours, the name of their supervisor, and the setting in which supervision took place.

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