The current BACB monthly supervision form individual supervisor document is the 2027 Monthly Fieldwork Verification Form: Individual Supervisor. It is the monthly record for a trainee whose fieldwork is being verified under one supervisor. The form covers one supervisory period, records the month’s fieldwork totals and observation time, and is signed by both the supervisor and trainee.
Table of Contents
- BACB Monthly Supervision Form Individual Supervisor: What It Is
- When Should You Use the Individual Supervisor Version?
- What Each Field Means on the 2027 Form
- How the 2027 Requirements Affect the Monthly Record
- Signature Deadline and Seven-Year Retention
- 2022 Versus 2027: Choosing the Form Edition
- Final Review, Common Errors, and FAQs
- Take the Free BCBA Mock Exam
Use the official form for the applicable requirement edition. A spreadsheet, supervision contract, or daily log can support the form, but none of those documents replaces it. This guide shows what the 2027 form is for, what to reconcile before signing, when it is due, and how to avoid mixing it up with the organization-level or final form.
BACB Monthly Supervision Form Individual Supervisor: What It Is
The official BACB title is Monthly Fieldwork Verification Form: Individual Supervisor. The current document is labeled for the 2027 Fieldwork Requirements. “Individual supervisor” describes the supervision structure: the record is completed per supervisor. It does not mean that the trainee completes or signs the form alone.
The form is a monthly verification record, not a narrative supervision note. It asks for the trainee’s identity, the BACB ID, month and year, fieldwork location, supervisor information, independent and supervised hours, observation time, total hours, percentage supervised, and the two parties’ attestations. The official form warns that incomplete information can result in the month’s fieldwork hours being lost.
| Document | Use it when | Do not use it as |
|---|---|---|
| Individual Supervisor monthly form | One supervisor verifies one trainee’s monthly fieldwork record. | A daily activity log or final verification form. |
| Multiple Supervisors at One Organization monthly form | Multiple supervisors are coordinated through one organization-level structure. | A shortcut for separate, unrelated supervision arrangements. |
| Individual Final Fieldwork Verification Form | A defined individual-supervisor fieldwork experience has ended. | A replacement for missing monthly forms. |
When Should You Use the Individual Supervisor Version?
Use this version when your signed supervision arrangement and fieldwork records identify one supervisor as the supervisor for the monthly record. The BACB handbook describes a monthly form for each applicable supervision structure. If several supervisors are working within one coordinated organization, review the organization-level form and the contract before selecting the individual version. Make the choice from the structure of the experience, not from the file name you happen to have saved:
- One supervisor: the individual-supervisor monthly form is the likely route.
- Multiple supervisors at one organization: review the organization form and identify the responsible supervisor.
- End of an experience: review the applicable final form in addition to the signed monthly forms.
- Unclear or changing arrangement: pause and compare the supervision contract, current handbook, and form instructions before logging another month.
The individual form is not a general “monthly supervision form” for every BACB situation. BCaBA ongoing supervision, RBT supervision, BCBA trainee fieldwork, and certification maintenance can involve different documents. Match the form to the credential, fieldwork structure, and requirement edition that applies to the person completing the record.
What Each Field Means on the 2027 Form
Complete the form from contemporaneous records. The purpose of the monthly form is to verify a month that has already been documented, not to reconstruct a semester from memory.
| Field group | Review before entering it |
|---|---|
| Trainee and BACB ID | Use the trainee’s account information. A BACB ID is not automatically the same as a certification number. |
| Month/year and location | Use the supervisory period being verified and the state and country where the fieldwork occurred. |
| Supervisor information | Enter the supervisor’s name and the certification number or BACB ID requested by the form. Confirm that the person matches the contract. |
| Independent and supervised hours | Report only hours from the month. Reconcile the two categories to the total and keep the underlying activity log. |
| Observation time and percentage | Check the observation minutes and calculate the supervised percentage from the same monthly total used elsewhere. |
| Attestations and signatures | Both parties review the statements, sign using an acceptable method, add dates, and save the completed copy. |
The current PDF also warns that its drop-down controls should be completed in Adobe Acrobat Reader on a desktop rather than in a browser. Browser entry can cause dates not to save correctly. After signing, close and reopen the saved file. If a field is blank, a date has changed, or a signature is missing, correct the file before treating the month as complete.
How the 2027 Requirements Affect the Monthly Record
The form records the month, while the 2027 requirements determine whether the documented hours fit the pathway. Use the current 2027 BCBA Requirements and your supervisor’s review for the details.
- Supervised Fieldwork uses 2,000 total hours; Concentrated Supervised Fieldwork uses 1,500 total hours.
- Supervision is 5% for Supervised Fieldwork and 7.5% for Concentrated Supervised Fieldwork.
- The 2027 fieldwork range is 20 to 160 hours per supervisory period.
- Client observation is recorded as cumulative minutes: 60 minutes for Supervised Fieldwork or 90 minutes for Concentrated Supervised Fieldwork per supervisory period.
- At least 50% of supervised hours must be individual, and at least 60% of total supervised fieldwork hours must be unrestricted activities.
Do not change an entry simply to make it meet a percentage. If the month misses a requirement, ask the supervisor how the eligible hours should be handled under the current handbook. The monthly form should reflect what occurred and what the supervisor can attest to—not an idealized version of the month.
Signature Deadline and Seven-Year Retention
The 2027 individual-supervisor form must be signed by the last day of the calendar month following the month of supervision. A January record, for example, is due by the last day of February. The deadline is based on the month of supervision, so a late review should not be treated as a reason to change the month shown on the form.
The trainee and supervisor must each retain a copy for at least seven years. The current form says not to submit the monthly form to the BACB unless requested. The final form is associated with closing the fieldwork experience and the certification application; the monthly forms support the record and may be requested in an audit.
- Complete the monthly form from the source log and supervision notes.
- Review the totals, observation minutes, requirement edition, and supervisor identity together.
- Obtain both signatures by the last day of the following calendar month.
- Open the saved PDF to confirm the data survived the save and signatures are visible.
- Store the form with the contract, logs, observation records, and any correction history.
2022 Versus 2027: Choosing the Form Edition
The form edition should match the requirements used for the application. The BACB’s 2027 transition guidance recommends completing and retaining both 2022 and 2027 monthly forms when a candidate is unsure whether the application will be submitted before or after January 1, 2027. That preserves documentation flexibility, but it does not mean you can invent a second version of an observation or supervision contact.
| Checkpoint | 2022 | 2027 |
|---|---|---|
| Concentrated supervision | 10% | 7.5% |
| Monthly maximum | 130 hours | 160 hours |
| Client observation | One contact per month | Total minutes per supervisory period |
| Document choice | Use the 2022 form family when the 2022 rules govern the application. | Use the 2027 individual or organization form that matches the supervision structure. |
Keep file names explicit: include the requirement edition, month/year, supervisor, and fieldwork type. That simple naming convention makes it easier to explain why two form editions exist and prevents an old PDF from being mistaken for the current one.
Final Review, Common Errors, and FAQs
Before you and the supervisor sign, verify the following:
- The form is the current 2027 Individual Supervisor version for the correct month.
- The trainee’s BACB ID, supervisor identifier, names, month/year, state, and country match the supporting records.
- Independent hours plus supervised hours reconcile to the total; observation minutes are supported by documentation.
- The form structure matches one supervisor rather than an organization-level multiple-supervisor arrangement.
- The PDF was saved, reopened, and checked before the deadline.
- Both parties have a retained copy and know where the supporting records are stored.
Is the individual supervisor form the same as a monthly experience verification form?: Older materials may use “experience verification” language. The current 2027 document is titled the Monthly Fieldwork Verification Form: Individual Supervisor. Use the current BACB title and version instead of relying on an old file name.
Do I list every supervisor on this form?: No. This version is for one supervisor’s monthly record. When multiple supervisors are coordinated through one organization, review the organization form and the responsible-supervisor rules in the current handbook.
Do I submit the monthly form with my application?: The current form says not to submit it unless requested. Retain it as fieldwork documentation; use the applicable final form and current application instructions when the fieldwork experience closes.
What if the form does not save a date correctly?: Follow the PDF’s instruction to use Adobe Acrobat Reader on a desktop, then save and reopen the file. Do not sign a copy whose dates, drop-down choices, or totals disappeared during saving.
The practical rule is: one current monthly form per supervisor and fieldwork type, one accurately reconciled month per form, two signatures by the next month’s deadline, and a durable seven-year record. For exam-focused practice on fieldwork and supervision, try our free BCBA mock exam. Practice questions do not replace the BACB handbook, official form, or supervisor review. For targeted review, use our bacb monthly supervision form individual supervisor practice questions to apply the concept in exam-style scenarios.
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