Edit, Download, and Sign the RBT Application for Voluntary Inactive Status

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How do I fill this out?

To fill out this form, you'll need to provide necessary details and follow specific instructions. Ensure that all required fields are completed accurately before submission. Detailed steps are provided below for reference.

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How to fill out the RBT Application for Voluntary Inactive Status?

  1. 1

    Complete the application and submit through the Contact Us Form.

  2. 2

    Pay the $25 nonrefundable processing fee within two weeks of receiving the email instructions.

  3. 3

    Allow two weeks for processing after payment.

  4. 4

    Monitor email for approval confirmation or further instructions.

  5. 5

    Ensure voluntary inactive status starts on the day of application and payment approval.

Who needs the RBT Application for Voluntary Inactive Status?

  1. 1

    RBTs currently in their renewal cycle needing voluntary inactive status.

  2. 2

    RBTs who will be unable to practice and seek to avoid renewal fees for up to two years.

  3. 3

    RBTs planning on relocating to regions where certification impact exists post-January 1, 2023.

  4. 4

    RBTs needing to report health or safety-related incidents to their supervisor and BACB.

  5. 5

    RBTs intending to meet supervision documentation requirements during inactive status.

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Editing your PDF is simple on PrintFriendly. Open the PDF in our editor, and you can begin making changes instantly. Save your edited document and proceed according to the form's instructions.

  1. 1

    Open the PDF using the PrintFriendly PDF Editor.

  2. 2

    Make necessary edits to the form fields.

  3. 3

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  4. 4

    Save the edited document on your device.

  5. 5

    Follow the form's instructions to complete the submission process.

What are the instructions for submitting this form?

Complete the application and submit it through the Contact Us Form before your expiration date. Wait for an email with payment instructions and pay the $25 nonrefundable processing fee within two weeks. Processing takes up to two weeks after payment. Monitor your email for confirmation or further instructions. Reinstatement requires submitting a request within two years.

What are the important dates for this form in 2024 and 2025?

Pay processing fee within two weeks from email notification. Begin inactivity on application and payment approval date. Ensure reinstatement request within two years to avoid expiration.

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What is the purpose of this form?

The purpose of this form is to provide Registered Behavior Technicians (RBTs) with the means to apply for voluntary inactive status. RBTs who are in their renewal cycle and have not passed their expiration date can request inactive status to avoid renewal fees and obligations for up to two years. This form requires completion of various sections, including personal information, supervision history, and required reporting acknowledgments. By submitting this application, RBTs affirm their understanding of the inactive status terms and agree to abide by reporting requirements during this period. If all requirements are met, the BACB will grant voluntary inactive status. Monitoring and communication throughout the process ensure compliance and confirmation of the inactive status application.

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Tell me about this form and its components and fields line-by-line.

This form contains several components that need accurate completion to ensure successful submission.
fields
  • 1. RBT's Full Legal Name: Provide the full legal name of the RBT applicant.
  • 2. RBT Certification #: Enter the certification number located in the applicant's BACB account.
  • 3. Ability to Practice: Affirmation that the applicant will not practice, bill, or represent themselves as an RBT while inactive.
  • 4. Supervision: Select and affirm supervision status since the last renewal or original certification date.
  • 5. Required Reporting: Affirm understanding of reporting requirements related to health, safety, and disciplinary incidents.
  • 6. Attestation: Acknowledge understanding and agreement to abide by BACB rules, terms of use, and reporting requirements.
  • 7. Signature: Provide a digital or manual signature to attest to the accuracy and completeness of the application information.
  • 8. Date: Enter the date of form completion and signature.

What happens if I fail to submit this form?

Failing to submit this form will result in losing the opportunity to apply for voluntary inactive status and may lead to certification expiration.

  • Certification Expiration: Your RBT certification will expire if not reinstated within the required timeframe.
  • Ineligibility for Inactive Status: You will no longer be eligible to apply for voluntary inactive status after missing the deadline.
  • Renewal Fees: You will need to submit an annual RBT Renewal Application and fees if inactive status is not granted.

How do I know when to use this form?

Use this form when you need to apply for voluntary inactive status as an RBT and meet the eligibility criteria.
fields
  • 1. Renewal Cycle: You are currently in your renewal cycle and have not missed the expiration date.
  • 2. No Practice: You will not practice, bill, or represent yourself as an RBT during the inactive status period.
  • 3. Relocation: You plan to stay in a region where BACB certification might be affected post-January 1, 2023.
  • 4. Supervision Documentation: You need to document supervision status and meet requirements since your last renewal or certification date.
  • 5. Health or Safety Reporting: You need to report incidents affecting your ability to provide behavior-analytic services or public health and safety.

Frequently Asked Questions

How do I start filling out this form?

Open the PDF in the PrintFriendly PDF Editor, and follow the instructions for each section.

How do I pay the processing fee?

You'll receive an email with instructions on how to pay the $25 nonrefundable fee, which must be done within two weeks.

How long does processing take after submitting the form?

Processing takes about two weeks after payment submission. Monitor your email for updates and confirmation.

What happens if my application is not approved?

You'll receive feedback via email with required next steps and may have an opportunity to resubmit a corrected application within two weeks.

Am I allowed to practice as an RBT while my status is inactive?

No, inactive RBTs are not permitted to practice, bill, or represent themselves as RBTs.

Do I need to report health or safety-related incidents?

Yes, you must report any relevant incidents to your RBT Supervisor or Requirements Coordinator and the BACB.

Can I still maintain my supervision requirements during inactive status?

You must declare if you met supervision requirements or did not practice since your last renewal or original certification date.

How do I sign the PDF form?

Use the e-signature feature in PrintFriendly’s PDF Editor to sign the form digitally.

Can I share the completed form?

Yes, you can share the edited and signed form using PrintFriendly’s sharing options, via email or a shareable link.

What if I miss the deadline to reinstate my certification?

If not reinstated within two years, your certification will expire, and you must reapply under the new requirements.

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