Committee for Social Workers

Supervisor/Supervision Information

1. Rule Amendment 20 CSR 2263-2.031
2. Supervisor Information
3. Supervisor Brochure
4. Supervisee Waiver Request Form

1. Check Supervision Hours (reflects hours obtained off submitted Attestation form(s))
2. Registration of Supervision / Change of Status (form is to be submitted within 14 days from the beginning date of supervision and submitted anytime there is a change in setting (employer) and/or supervisor)
3. Record of Supervision Log Form
4. Annual Supervision Progress Report- Clinical (form must be received on anniversary date of the initial approval for the twelfth, twenty-forth, and thirty-sixth months of supervision)
5. Annual Supervision Progress Report- Advanced Macro (form must be received on anniversary date of the initial approval for the twelfth, twenty-forth, and thirty-sixth months of supervision)
6. Professional Disclosure Statement

1. Attestation of Supervised Experience/Supervision Termination
2. Check Supervision Hours (reflects hours obtained off submitted Attestation form(s))

Calculation of supervision hours. Number of months x 4.2 x number of hours worked per week.