This version of the form is not currently in use and is provided for reference only. Download this version of Licensed Clinical Social Worker Form 4B for the current year.
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.
Q: What is Form 4B Certification of Experience for Licensed Clinical Social Worker?
A: Form 4B is a certification of experience for licensed clinical social workers in New York.
Q: Who is required to fill out Form 4B?
A: Licensed clinical social workers in New York are required to fill out Form 4B.
Q: What is the purpose of Form 4B?
A: The purpose of Form 4B is to verify and document the clinical work experience of licensed clinical social workers in New York.
Q: What information is required in Form 4B?
A: Form 4B requires information such as the applicant's personal details, employment history, and details of clinical work experience.
Q: Are there any fees associated with Form 4B?
A: There is no fee associated with submitting Form 4B.
Form Details:
Download a fillable version of Licensed Clinical Social Worker Form 4B by clicking the link below or browse more documents and templates provided by the New York State Education Department.