Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Mental Health Counselor Form 5CS for the current year.

Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York

What Is Mental Health Counselor Form 5CS?

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 the 5CS Certification of Supervisor for Limited Permit?
A: The purpose of the 5CS Certification of Supervisor for Limited Permit is to certify that a mental health counselor supervisor agrees to supervise a counselor with a limited permit in New York.

Q: Who needs to complete the 5CS Certification of Supervisor for Limited Permit?
A: A mental health counselor supervisor needs to complete the 5CS Certification of Supervisor for Limited Permit if they agree to supervise a counselor with a limited permit in New York.

Q: Is there a fee to submit the 5CS Certification of Supervisor for Limited Permit?
A: No, there is no fee to submit the 5CS Certification of Supervisor for Limited Permit.

Q: What information is required on the 5CS Certification of Supervisor for Limited Permit form?
A: The 5CS Certification of Supervisor for Limited Permit form requires information such as the supervisor's name, contact information, license number, and agreement to supervise the counselor with a limited permit.

Q: Are there any specific qualifications or requirements for a mental health counselor supervisor to complete the 5CS Certification of Supervisor for Limited Permit?
A: Yes, the supervisor must hold a valid license as a mental health counselor in New York and meet additional requirements outlined by the New York State Education Department.

Q: What should I do with the completed 5CS Certification of Supervisor for Limited Permit form?
A: The completed 5CS Certification of Supervisor for Limited Permit form should be submitted to the New York State Education Department's Office of the Professions.

ADVERTISEMENT

Form Details:

  • Released on September 1, 2021;
  • 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 Mental Health Counselor Form 5CS by clicking the link below or browse more documents and templates provided by the New York State Education Department.

Download Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York

4.4 of 5 (24 votes)
  • Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York

    1

  • Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York, Page 2

    2

  • Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York, Page 3

    3

  • Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York, Page 1
  • Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York, Page 2
  • Mental Health Counselor Form 5CS Certification of Supervisor for Limited Permit - New York, Page 3
Prev 1 2 3 Next
ADVERTISEMENT

Related Documents