FORMS

The Louisiana Behavior Analyst Board offers assistance to Behavior Analysts in obtaining licensure. Below are downloadable versions of necessary forms and applications.  PLEASE NOTE:  In order to apply for licensure in Louisiana, you must first be certified by the Behavior Analyst Certification Board.  Please visit bacb.com for more information on national certification.

HELPFUL NOTE:  In some cases a form in PDF is not fillable online.  Click print, then preview in PDF and a copy will be created to your computer which is fillable in some instances.

PLEASE READ ALL APPLICATIONS CAREFULLY - LBAB DOES NOT ACCEPT PERSONAL CHECKS, BUSINESS CHECKS, OR CASH

LBA/SCABA Application Portfolio

PLEASE NOTE BACB VERIFICATION FORM IS NO LONGER NECESSARY – IF YOU SEND FORM YOU WILL INCUR A $25 BACB FEE AFTER 7/1/19.

Application Instructions

LBA/SCaBA Application

License/Certification Verification Form

UPDATED Application for Line Technichian Registration and Proof of Supervision Form (combined)

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Proof of Supervision SCaBA only

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CRIMINAL BACKGROUND CHECK PACKET AND INSTRUCTIONS - DO NOT USE THESE FORMS UNLESS AN APPLICATION IS BEING SUBMITTED

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2021 RENEWAL FORMS BELOW – DO NOT MAIL OR EMAIL UNTIL NOVEMBER 1ST

IT IS A CEU REPORTING YEAR INSTRUCTIONS AND FORMS BELOW

EMERGENCY RULE FOR REDUCED FEE EXPIRED AT MIDNIGHT 12-31-21.  LBA LATE RENEWAL IS $400.00 PLUS $50.00 LATE FEE.  SCABA RENEWAL IS $250.00 PLUS $50.00 LATE FEE.

2021 LBA RENEWAL FORM

2021 SCABA RENEWAL FORM

2021 RLT RENEWAL FORM

CEU INSTRUCTIONS

CEU.REPORTING.FORM

 

Supervisory Discontinuation Form

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Supervisory Change Form within Same Company

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