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Certified Addiction Counselor OntheJob Supervision Verification Form DIRECTIONS This form allows for one qualified supervisor to document clinical onthejob supervision hours as required for the CAC credential.
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How to fill out On-form-Job Supervision and Competency Verification Form

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How to fill out On-form-Job Supervision and Competency Verification Form

01
Obtain the On-form-Job Supervision and Competency Verification Form from your supervisor or HR department.
02
Read the instructions carefully to understand each section of the form.
03
Fill in your personal details including your name, job title, and any identification number if required.
04
Indicate the specific job or task that requires supervision and competency verification.
05
Provide details of the supervisor who will oversee your work, including their name and contact information.
06
Complete any specific competency sections, detailing your skills and qualifications related to the job.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to your supervisor or designated authority for review.

Who needs On-form-Job Supervision and Competency Verification Form?

01
Employees undergoing on-the-job training or supervision.
02
New hires who require verification of their competency in specific job tasks.
03
Organizations that need to document supervisory processes and competency assessments.
04
Safety officers and compliance personnel who must verify that employees are trained and competent.
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The On-form-Job Supervision and Competency Verification Form is a document used to verify that individuals performing specific job functions are competent and supervised appropriately during their work.
Individuals or organizations involved in supervising and verifying the competency of workers performing certain tasks are required to file the On-form-Job Supervision and Competency Verification Form.
To fill out the On-form-Job Supervision and Competency Verification Form, you should provide details about the worker, the job performed, the supervising authority, and confirm that the individual has the necessary skills and training for the task.
The purpose of the On-form-Job Supervision and Competency Verification Form is to ensure that all workers are properly supervised and that their competencies meet the required standards for safety and efficiency in their job functions.
The information that must be reported includes the worker's name, job title, description of the task, dates of supervision, the name of the supervisor, and confirmation of the worker's competencies and training.
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