Marriage and Family Therapist Form 4B Certification of Supervised Experience - New York

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Marriage and Family Therapist Form 4B for the current year.

Marriage and Family Therapist Form 4B Certification of Supervised Experience - New York

What Is Marriage and Family Therapist Form 4B?

This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form 4B?
A: Form 4B is used to certify supervised experience for Marriage and Family Therapists in New York.

Q: Who needs to complete Form 4B?
A: Marriage and Family Therapists in New York who have completed supervised experience need to complete Form 4B.

Q: What information is required on Form 4B?
A: Form 4B requires information about the supervisor, the supervisee, and the supervised experience.

Q: Who should sign Form 4B?
A: Form 4B should be signed by the supervisor and the supervisee.

Q: What happens after submitting Form 4B?
A: After submitting Form 4B, the New York State Education Department will review the application and issue the certification of supervised experience.

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Form Details:

  • Released on February 1, 2019;
  • The latest edition provided by the New York State Education Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Marriage and Family Therapist Form 4B by clicking the link below or browse more documents and templates provided by the New York State Education Department.

Download Marriage and Family Therapist Form 4B Certification of Supervised Experience - New York

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