Free tool · M-FVF
Monthly fieldwork verification form generator
Fill in the BACB® Monthly Fieldwork Verification Form (M-FVF) for one month of fieldwork, sign it as the trainee if you like, and download it as a PDF for your supervisor to sign. Every 2027 and 2022 version, the current one chosen for you. Free, no account needed.
- The BACB's own form, filled in
- Your signature never leaves your device
- Earlier BACB versions kept
Box by box
What each box on the form means
- Month/Year
- The month of supervision this form covers, not the month you sign it.
- State and country where fieldwork occurred
- Where you did the fieldwork this month.
- Certification # or BACB ID #
- Your supervisor's BACB certification number or BACB ID.
- A. Independent Hours
- Fieldwork hours this month with no supervisor present.
- B. Supervised Hours
- Fieldwork hours this month with your supervisor present.
- Observation (2027 form)
- How much of this month's fieldwork included observation with clients, in hours and minutes.
- Fieldwork Type (2022 form)
- Supervised Fieldwork or Concentrated Supervised Fieldwork: the one this month's hours were accrued under.
- Total Fieldwork Hours
- A plus B. Filled in for you.
- Percentage of Hours Supervised
- B divided by the total. Filled in for you.
Questions
Questions about the monthly form
What goes in Independent Hours and Supervised Hours?
Independent hours are fieldwork hours when your supervisor was not present. Supervised hours are the hours when your supervisor was present, including individual or group meetings with them. The form adds them together for the total.
How is the percentage of hours supervised worked out?
Supervised hours divided by total fieldwork hours, as the form says (supervised/total). The generator rounds down to two decimal places, so it never shows more than you have.
Do I need one form per supervisor?
The individual supervisor form says: complete one form per supervisor. The multiple supervisors at one organization form says: complete one form per organization, signed by the responsible supervisor.
Can I sign the monthly form on this page?
Yes, as the trainee. Type your name or upload a PNG or JPG of your signature, and tick the box to confirm you are signing it yourself. The signature is drawn into the PDF on your device and is never uploaded or saved. The supervisor signature line stays blank for your supervisor.
Is the monthly form submitted to the BACB?
No. The form says: do not submit this form to the BACB unless requested. You and your supervisor each keep a copy for at least 7 years.