Reporting Alleged Violations Against BCaBAs/BCBAs - Behavior Analyst Certification Board

Before submitting a Notice of Alleged Violation against a BCaBA, BCBA, or BCBA-D applicant or certificant, review the information in the Considerations for Reporting an Alleged Violation and the Ethics Code for Behavior Analysts.

When completing the Notice of Alleged Violation, you will be required to enter information about the subject, the alleged violation, and supporting documentation. If the notice is accepted, the BACB gives the subject due process by providing a copy of the notice and supporting documentation. The subject is also given an opportunity to respond and submit their own supporting documentation.

For information about what happens once a notice is submitted, and possible outcomes, see the Code-Enforcement Procedures document.

Notice of Alleged Violation Against a BCaBA/BCBA Form
Have you attempted to resolve the matter directly with the Subject?*
- Yes
- No
Does the Subject live, or did the incident occur, in one of following states?*
- Yes
- No
If the Subject of the alleged violation lives in one of the following states, you must also report to the relevant state licensure agency or board.

Alabama

Kansas

Nevada

South Dakota

Alaska

Kentucky

New Jersey

Tennessee

Arizona

Louisiana

New York

Texas

Connecticut

Maryland

North Carolina

Utah

Georgia

Massachusetts

North Dakota

Vermont

Hawaii

Michigan

Ohio

Virginia

Illinois

Mississippi

Oklahoma

Washington

Indiana

Missouri

Oregon

Wisconsin

Iowa

Montana

Rhode Island

Wyoming

For more information, please visit the U.S. Licensure of Behavior Analysts web page.

If so, have you reported?*

You must first report to any relevant licensure or regulatory entity before submitting a Notice of Alleged Violation to the BACB. Once you have reported the necessary information to the relevant entity, you may return to complete this form.

Provide all available case Information (e.g., case number, name of licensure or regulatory entity, name of investigator, date of notification):*

Notifier Information

Notifier's Name*

First Last

Notifier's Email Address*

Notifier's Phone Number*

Notifier's Relationship to the Subject of This Notice*

Subject Information

The Subject is the individual who allegedly violated the Ethics Code for Behavior Analysts. Please note that the BACB only has jurisdiction over certificants and applicants. The BACB does not have jurisdiction over agencies.

Subject's Name*

First Last

Subject's Certification*

Board Certified Assistant Behavior Analyst (BCaBA)
Board Certified Behavior Analyst (BCBA)
Board Certified Behavior Analyst-Doctoral (BCBA-D)
BCaBA or BCBA Applicant

Did you contact the Subject's supervisor?*

Please enter the name of the supervisor contacted (if you don't know, type "unsure")*

City/State/Country of the Alleged Violation*

City State / Province / Region Country

Is this Notice related to another Notice of Alleged Violation?*

If so, who was named in the other Notice?*

Name of Subject's Employer/Organization*

Description and Evidence of Alleged Violation

To submit a Notice, you must file within six months of when you became aware, or should have been aware, of the alleged violation(s). You must include documentation to support each allegation. Notices submitted without supporting documentation will not be processed. Appropriate documentation must be linked to each alleged Code violation. Whether documentation is sufficient to process a Notice is at the discretion of the BACB. If documentation includes information about a service recipient, all identifying personal information must be removed (e.g., names, birth dates) from all documentation. Some examples of appropriate documentation include emails, reports, time-stamped screen captures, and links to web pages with the publicly available information. For alleged violations in which the evidence is indirect (e.g., verbal interaction that was not recorded), you must submit a Personal/Witness Statement Affidavit.

Date(s) of Alleged Violation(s)*

Explanations of the Alleged Violation(s) and Supporting Documentation*

If you wish to include specific codes in your explanation, please do so here by code number (e.g., 1.01). Refer to the Ethics Code for Behavior Analysts for details.

Description of File(s) that will be Submitted as Supporting Documentation*

Please upload a statement that describes the alleged violation(s). If you wish to include specific codes in your explanation, please do so in your statement by code number (e.g., 1.01). Refer to the Ethics Code for Behavior Analysts for details.

The uploaded statement is included in your 20 page limit

Upload Statement and Supporting Documentation*

Drop files here or

Accepted file types: png, jpg, pdf, doc, docx, Max. file size: 10 MB, Max. files: 20.

Reminder: You must remove or black out all sensitive identifying information (e.g., client name, date of birth) before uploading supporting documentation.

Actions With Other Organizations

The BACB expects all Notifiers to exercise due diligence before reporting to the BACB. This includes reviewing the Application of the Code section of the Ethics Code for Behavior Analysts, state laws, and any other mandated reporting requirements. If the Subject of the Notice was reported to authorities, include all relevant information and a status update regarding that report.

Has a complaint been filed with another agency (e.g., Child Protective Services, licensure board, third-party payer, criminal or civil litigation)?*

Please select the agencies to which a complaint has been filed:*

Third-Party Payer
Governmental or Healthcare Agency
Employer or Supervisor
Other

If other, please indicate agency*

Provide the name of each agency that received a complaint:*

Provide the status of each complaint (e.g., submitted and pending, received final determination)*

The BACB may postpone the processing of the Notice until the final determination(s) have been made by relevant agencies. Include all official documentation, such as a copy of the complaint, findings of fact, or the final determination, in the single PDF of supporting documentation that you will submit with this Notice.

Signature and Attestation

I hereby attest that:

I am of legal age to sign this Notice.
I have direct knowledge of the alleged violation(s).
I agree to the terms and conditions stipulated in this Notice, and I affirm that I have only provided truthful and accurate information to the best of my knowledge.
I waive any right or claim I may have against the BACB for the processing of this Notice and/or the release of information related to this Notice, the Subject's response, or the BACB's determination.
If applicable, I consent to and agree to assist with the investigation, including, but not limited to, the submission of any and all information required by the BACB.
I agree that I will not engage in vexatious or harassing communications with BACB staff. I will immediately comply with any cease and desist notice issued by the BACB. I understand and agree that I am responsible for communicating with the BACB Ethics Department regarding this Notice; I will refrain from corresponding with other BACB personnel (e.g., other BACB departments, BACB leadership) until a final determination has been reached by the Ethics Department regarding this matter.
If I am not the recipient of services or a parent or legal guardian of the recipient of services, I have obtained permission to file this Notice from the recipient of services or parent or legal guardian of the recipient of services.
I understand that I may not appeal BACB determinations in which I am a Notifier. I understand that I will not be provided with a copy of the BACB’s case files, including, but not limited to, the Subject's response, related documentation, and records of Review Committee or Appeal Committee deliberations. I agree not to subpoena the BACB or name the BACB as a defendant in any litigation or third-party action.
I understand that the BACB may release this Notice and related documentation to the Subject of the Notice, including, but not limited to, my information as the Notifier. I understand that if I am submitting this Notice against an BCaBA, a copy of this Notice will be provided to the relevant supervisor and/or requirements coordinator.
I understand that the BACB may release this matter, including, but not limited to, my identity, the identities of the client and certificant, the Subject's response, and the Notice's outcome, if such information is required or requested by any state or government official or agency. The BACB may, in its sole discretion, comply with any governmental agency request for release of this Notice, the Subject's response, and determinations, if any, by the BACB at any time during or following the BACB's processing of this Notice.
I agree to participate in the investigation of the Notice, including, but not limited to, providing consent for the behavior analysts named herein and their agency, school or organization, to release the comprehensive case file (including client or student service records) as may be needed to defend against the allegations provided herein.

Select "Yes" to agree to the previous conditions. You may not submit a Notice without agreeing to these conditions.*

Yes, I agree to the previous conditions

Notifier's Signature*

I attest that I am the signer of this agreement and that the information provided herein is true and accurate to the best of my knowledge. This agreement will be executed by the following electronically transmitted signature (typed name in signature fields), which shall be deemed to be as valid as an original signature.

First Last

Date of Signature and Attestation*

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

The BACB cannot provide legal or ethics advice under any circumstances. There are a number of resources available for anyone seeking guidance related to ethics in the Ethics Resources section. U.S. residents of states that regulate the practice of behavior analysis may contact their state disciplinary boards. For more information about regulation in the U.S., the Association of Professional Behavior Analysts has a resource page on licensure and regulation. Whenever possible, we encourage, but do not require you to consult with a behavior analyst who specializes in the matter before filing a Notice of Alleged Violation. For legal advice, please consult with a licensed attorney in your jurisdiction. For additional guidance on ethics-related matters, please see the Ethics Codes section.

Notifier Information

Subject Information

Description and Evidence of Alleged Violation

Actions With Other Organizations

Signature and Attestation

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