Ongoing Supervision Audit Doc Submission Web Form Ongoing Supervision Audit Doc Submission Web Form Ongoing Audit Doc Submission Web Form X 1Audit Type2Responder Info3File Upload4Attestation This field is hidden when viewing the formSubmission ControlI am responding to the following request from the BACB Audits Department to provide information about:Select Audit Type:*(Required) RBT Supervision BCaBA Supervision Name(Required)Please use the first and last name as it appears in your BACB account First Last BACB ID:(Required)This number is located in your BACB account. Note: This is not your Certification Number. It is the specific ID associated with your account.BACB Email address(Required) Please use the same email address associated with your BACB account. If you no longer have access to the email address associated with your BACB account, please use the Contact Us form and be prepared to answer identity verification questions from our team. Select Audit Role:(Required) RBT RBT Supervisor RBT Requirements Coordinator Select Audit Role:(Required) BCaBA BCaBA Supervisor RBT Supervision Audit Log Upload(Required) Drop files here or Select files Accepted file types: xlsx, xls, xlsm, Max. file size: 10 MB. BCaBA Supervision Audit Log Upload(Required) Drop files here or Select files Accepted file types: xlsx, xls, xlsm, Max. file size: 10 MB. Attestation I acknowledge and agree that submitting falsified or inaccurate information to the BACB constitutes a violation of the BACB’s ethics requirements. I acknowledge that this is my sole opportunity to provide the requested supervision documentation to demonstrate my compliance with the ongoing supervision requirements. I acknowledge that following my submission deadline, additional documents will not be accepted or considered. Attestation I acknowledge and agree that submitting falsified or inaccurate information to the BACB constitutes a violation of the BACB’s ethics requirements. I acknowledge that this is my sole opportunity to provide the requested supervision documentation to demonstrate the supervision I provided as the RBT Supervisor. I acknowledge that following my submission deadline, additional documents will not be accepted or considered. Attestation I acknowledge and agree that submitting falsified or inaccurate information to the BACB constitutes a violation of the BACB’s ethics requirements. I acknowledge that this is my sole opportunity to provide the requested supervision documentation to demonstrate the the supervision I provided and/or coordinated as the RBT Requirements Coordinator I acknowledge that following my submission deadline, additional documents will not be accepted or considered. Attestation I acknowledge and agree that submitting falsified or inaccurate information to the BACB constitutes a violation of the BACB’s ethics requirements. I acknowledge that this is my sole opportunity to provide the requested supervision documentation to demonstrate my compliance with the ongoing supervision requirements. I acknowledge that following my submission deadline, additional documents will not be accepted or considered. Attestation I acknowledge and agree that submitting falsified or inaccurate information to the BACB constitutes a violation of the BACB’s ethics requirements. I acknowledge that this is my sole opportunity to provide the requested supervision documentation to demonstrate the supervision I provided as the BCaBA Supervisor. I acknowledge that following my submission deadline, additional documents will not be accepted or considered.
