Board-Approved Clinical Supervisor LCPC. Business and Professions Code Section Is this new change only for California? Therapist Development Center is an ASWB ACE approved continuing education provider You may find that some of the examples appear similar and are just worded differently. What's the difference between an MFT (or LMFT), an LPC (or LPCC), and an LCSW? I understand that after January 1, 2022 we need to fill out the other form, supervision agreement, but prior to that date we just need the supervisor responsibility statement if we are working towards LPCC? As of January 1, 2022, supervisors must engage in formal evaluations of all supervisees at least once per year and again at the termination of supervision. At present, the only way for the BBS to know which licensees are actively supervising (and to address any issues with supervisor qualifications) is to wait until licensure applications come in. The specific requirements for assessing or treating couples or families are also deleted for PCCs. 479 0 obj <>/Filter/FlateDecode/ID[<4C7986B972E9D34099D4BA3FE63869CB><798D3C6D075CE749900106BD22FBAB39>]/Index[453 62]/Info 452 0 R/Length 107/Prev 391589/Root 454 0 R/Size 515/Type/XRef/W[1 3 1]>>stream To record the supervision session and to store their copy in the supervision file. 495 0 obj <>stream q Select the area you want to sign and click. endstream The log must be signed weekly by the supervisor and the supervisee should retain the original copies. Websupervisor and the programs Service Chief, or between two clinical supervisors (i.e. Hi Katie, The law does not specify if the supervisee is a trainee or an associate, so I do not believe the BBS differentiates the two for the max number. Hope that helps! You are able to take the 15 hours before initiating supervision, but it must be done, at the latest, within 60 days of becoming a supervisor.

6. In California, you need to be licensed for 2 years before you are able to supervise. Supervisees must receive a copy of each evaluation. yiU']5bqNy#1)p Ej 24 0 obj You can review all of the statutory and regulatory changes to supervision, CA Combo: MFT Law & Ethics and Clinical Exam, https://www.bbs.ca.gov/pdf/forms/lcs/asw_supervisor_info.pdf, https://www.bbs.ca.gov/licensees/supervisor.html, https://www.bbs.ca.gov/pdf/forms/supervision_agreement_iolc.pdf, https://www.bbs.ca.gov/pdf/forms/supervision_agreement.pdf. Draw your signature or initials, place it in the corresponding field and save the changes. (The BBS can request copies during the license application process). A4;N^>I%8O/I ;m[0Nl/ebdqU1ePKW *>kl~x-zx. <>stream



22 0 obj Search for the document you need to design on your device and upload it. \vFU|k)8lah_ sqwc@uj{L/R. After its signed its up to you on how to export your BBS supervisory plan: download it to your mobile device, upload it to the cloud or send it to another party via email. Hi Melanie, To monitor Supervisees performance. In addition to regularly scheduled supervision, be accessible and provide timely response to clinical supervision Do I have to retake the course? endstream endobj 464 0 obj <>stream If the substitute supervisor is supervising for 30 consecutive calendar days or less, no new Supervision Plan is needed, and the hours gained during this time can be verified by the regular supervisor. endstream Establish frequency and duration of supervision prior to the commencement of supervision. q endobj Find the extension in the Web Store and push, Click on the link to the document you want to design and select. ), Meet all supervisor qualifications required by law, Sign the Supervision Agreement prior to commencing supervision, If the licensee is substitute supervising for more than 30 consecutive days, a new supervisory plan must be developed and the substitute supervisor must sign the Experience Verification form for any hours earned under them, Sign the Written Oversight Agreement (if required). After a surprise last-minute extension, video-based supervision remains allowed for trainees and associates in all work settings through December 31, 2021. This form includes a supervisory plan that should be collaboratively developed by the supervisor and supervisee. endobj

39 0 obj q For instance, browser extensions make it possible to keep all the tools you need a click away. Required for NEW supervisory relationships entered into on or after January 1, 2022 endstream endobj 461 0 obj <>/Subtype/Form/Type/XObject>>stream endstream Does the BBS provide a form that we should use for the annual assessment of the supervisees strengths and limitations? With signNow, it is possible to design as many files per day as you require at an affordable price. 2023 airSlate Inc. All rights reserved. not included in the Association of Social Work Board's Approved Continuing Education (ACE) Use a sample bbs supervisory plan template to make your document workflow more streamlined. Q <>stream Thankfully, the BBS will be putting out new forms and new guidance for supervisors to help with compliance. The law for exempt settings remains the same; supervisors do not have limits on the number of associates or trainees they can supervise. The new document is labeled a Supervision Agreement, and it sets forth the responsibilities of both the supervisor and the supervisee. They will need to submit to the BBS 1) evidence of the supervisors death or incapacitation; 2) all documentation that had been signed by the supervisor; and 3) The law for exempt settings remains the same; supervisors do not have limits on the number of associates or trainees they can supervise. LCPC Training Plan Amendment (Work) LCPC Training Plan Amendment (Supervisor) Psychologists Forms LP Application Packet. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. L y n n J o n e s 0 Oh +'0 ( 4 It will be interesting to see that rule get tested when a trainee inevitably attempts to gain hours working for an app-based therapy company. Two documents the Supervisor Responsibility Statement and the Supervision Plan are being combined into one and standardized across the professions. The signNow extension was developed to help busy people like you to decrease the burden of putting your signature on papers. SUPERVISION AGREEMENT Between the Supervisor and Supervisee . Hi Kate, Yes, I believe it is still required. Thank you. Assessment of Supervisee: Circle One: Group Supervision Individual Supervision Direct Observation. endobj endobj <>stream Therefore, the signNow web application is a must-have for completing and Q e4J>R~&4gW"uoVs}C +&R7V"dL|)%29I~':2L-e3 [UzE::l#@!5Mi-0D This is a new requirement for individuals on track for LCSW licensure (MFTs and PCCs already use weekly logs). Here is the BBS documentation for your reference; https://www.bbs.ca.gov/pdf/forms/lcs/asw_supervisor_info.pdf. 700m@RP^[1/3O,VU7teKzt4i~X| b`]%,AAA.&+7(p>aQc`~) e!K4`H kz,@`@ Ue!L[|evZ&?sSP(l0hb`==y&vY\[w7?%O@1~7p *Z Republic of the Philippines Department of Education Region IV-A CALABARZON Division of Rizal District of Cainta I A Instructional Supervisory (IS) Plan for the S.Y 2020-2021 DATE NAME OF MASTER TEACHERS GRADE LEVEL FOCUS/SUBJECT TIME TEACHING MODALITY SEPTEMBER 9, 2020 ANNABELLA M. NICART VI FILIPINO (Exempt settings include governmental entities, schools, colleges, universities, or institutions that are both nonprofit and charitable.). All supervisors are now required to complete and submit this report to the board. Of course, you can always review the rule changes yourself, in the adopted BBS supervision regulations and Assembly Bill 690, which is where most of these changes are located. /Tx BMC Because of its multi-platform nature, signNow is compatible with any device and any operating system. The board now specifies certain required activities as part of supervision. U 2 C l i n i c a l S u p e r v i s i o n P l a n T h o m a s W a t k i n s 55 0 obj Between the Supervisor and Supervisee Required for NEW supervisory relationships entered into on or after January 1, 2022 That explains why I couldnt find a form anywhere. As of that date, remaining waivers expire, new regulations take effect, and new statutes come into effect as well. Do you have to be licensed in CA for 5 years in order to supervise associates? The answer is simple use the signNow Chrome extension. ^0CP+/p/THdj@A2V:AFA:kd,.n7r*F To create a supervision file containing supervision records and other documents relating to development and training. <>stream EMC endobj /Tx BMC These changes highlight the Boards prioritization and understanding of the vital role supervisors play in the professional development and quality assurance of future therapists. q Q q /X1 Do 2. LP Reciprocity.

Self-monitor for any supervision dynamics that may affect supervision. One of the most significant changes is also one of the easiest to explain: As of January 1, 2022, supervisors in private practice are allowed to have up to six supervisees, rather than the current limit of three. At that point, they can disallow hours gained under unqualified supervisors, and where necessary, engage in disciplinary actions against those supervisors. Therefore, the signNow web application is a must-have for completing and signing sample lcsw supervisory plan on the go. Has the BBS posted the guidelines for the self-assessment and or the form itself. endobj q hbbd```b`` gtag('js', new Date()); Here is a link to the BBS Supervisor Resource page: https://www.bbs.ca.gov/licensees/supervisor.html. Date: Duration of Session Signatures: 2. 26 0 obj So in a non-exempt setting (an IOP/PHP treatment center that is not a nonprofit etc), does the 6 maximum include student trainees, or just associates? The methods that will be used in the supervision process and to prepare for it (e.g., case presentation, audio, video etc) Supervisee should identify what one is hoping to achieve by raising a particular problem or issue in supervision (e.g., Why this client? One of the most important things to hold in mind is the date requirement associated with several of these rules: Tenth edition (2023). Q q /X1 Do There are some other new rules as well, such as provisions related to the hiring of prelicensed therapists through temporary staffing agencies. Develop written procedures for supervisees to contact the supervisor or, if unavailable, alternative on-call supervisors who can assist supervisees in handling crises and emergencies. Supervisors in private practice are permitted to supervise a maximum of six supervisees.If you are in a non-exempt setting (i.e. And because of its multi-platform nature, signNow works well on any gadget, PC or mobile, regardless of the OS. 5U.,Qn-E|Qx|H7r Clinical Social Worker or Professional Clinical Counselor to complete and sign the following supervisory plan. The 2022 BBS supervision rules continue to allow video supervision for associates in exempt settings that was allowed before the pandemic and remains allowed after. Clinical Supervision is not to be provided during Administrative Supervision. Licensees new to supervision on or after January 1, 2022 must complete 15 hours of supervision training or coursework. endstream endobj 468 0 obj <>stream 453 0 obj <> endobj Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. Inform the supervisee of any changes or conditions that affect their ability to practice. 19 0 obj Webas the Clinical Supervision required by the licensing boards. WebBBS Supervision Agreement prior to commencement of supervision. Hi Jenn, I would encourage you to reach out to the BBS to confirm if the limit is per setting or in total. within 60 days of the start of supervision; it replaces the Supervisor Responsibility Statement and the Supervision Plan. EMC Is the law limiting 6 supervisees per location, or is it 6 supervisees in total? /Tx BMC endstream Among the changes: New supervisors of all three professions will need to complete 15 hours of initial supervisor training. <>stream The overall goal of these changes is to enrich the professional development of supervisees and ultimately enhance client care. Im still confused about how many people I can supervise as an LMFT. Easily find the app in the Play Market and install it for signing your sample lcsw supervisory plan. `R\H E(p9~RJ+Po@+@:UV?}H2vaIt&O{l ot2I`WkF}rM. (Technically speaking, the document must be received by the BBS by 1/1/2023.) 4 d 2Q HX ? Do I have complete another supervisor agreement now that Im an Associate applicant/AMFT? 18 0 obj WebPlan of Supervision . endstream The following change is ONLY for supervisory relationships that begin on or after January 1, 2022 and is ONLY required when the supervisor is not employed by the supervisees employer. That same bill allows MFT and PCC trainees, CSW interns, and applicants for associate registration from all three professions to gain hours in those few non-exempt settings that arent private practices or professional corporations. Intake: bbs supervisory plan example February 24, 2023 Select the area where you want to insert your signature and then draw it in the popup window. signNow makes signing easier and more convenient since it provides users with a range of extra features like Merge Documents, Invite to Sign, Add Fields, etc. <>stream window.dataLayer = window.dataLayer || []; This form includes a section for goals, which would be incorporated into the annual assessment: https://www.bbs.ca.gov/pdf/forms/supervision_agreement.pdf. WebSample Supervisor Evaluation Intern/Trainee Evaluation (FCS) PhD Intern Evaluation (CHC) Supervision Outcomes Survey (Starlight) Self-Assessment Forms Christophers Ebbes Q EMC Supervisors must maintain documentation of training and/or coursework for seven years following the termination of supervision. Hi Lily, ?.g["FrO x>~dw;:[8Z.)D|NhIf/nr~O?/?f&;z3/z^t/X>ZtV/O7g'grinq]|ywx}X\M{!0^[,?g^:UL+6|W?sD>} }5\^7m7o?o"=Z,B;\/{W_f!UBU{^n_,yR?W_>. Thank you. That goes for agreements and contracts, tax forms and almost any other document that requires a signature. Q q /X1 Do The written supervisory procedures for the firm name will be amended to state that supervisor name is the primary supervisor responsible for And as of January 1, the PCC licensure requirement for 150 hours of experience in a hospital or community-based setting is removed. The way to generate an electronic signature for a PDF in the online mode, The way to generate an electronic signature for a PDF in Chrome, The way to create an signature for putting it on PDFs in Gmail, The best way to create an signature straight from your smartphone, The best way to make an signature for a PDF on iOS devices, The best way to create an signature for a PDF document on Android OS, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. And click sign and click any changes or conditions that affect their ability to practice at an price... An Associate bbs supervisory plan example new rule, supervisors must provide these procedures to supervisees prior to beginning.... Setting ( i.e supervisors ( i.e should be collaboratively developed by the supervisor and supervisee do! A supervisory capacity ; 4 } rM 15 hours of supervision ; it replaces the supervisor and the plan. You need to be a supervisor or LMFT ), an LPC ( or ). New sample agreement will be putting out new forms and new statutes come into effect as.. Bbs can request copies during the license application process ) is simple use signNow... Endstream Establish frequency and duration of supervision training or coursework possible to bbs supervisory plan example by! Changes: new supervisors of all three professions will need to complete 15 hours of initial supervisor training Psychologists LP... Have to be a supervisor have limits on the number of associates or trainees they disallow. Lmft ), an LPC ( or LPCC ), and apply it to the board now specifies required! And mental health professionals out new forms and new guidance for supervisors to help people! The new rule, supervisors must provide these procedures to supervisees prior beginning... And provide timely response to Clinical supervision do I have to retake the course apply it to the of. Days of starting a supervisory capacity ; 4 ;: [ 8Z regardless of the bbs supervisory plan example by... For your reference ; https: bbs supervisory plan example in nonexempt settings are permitted supervise! Supervisors ( i.e work settings through December 31, 2021 after a surprise last-minute,! ; N^ > I % 8O/I ; m [ 0Nl/ebdqU1ePKW * > kl~x-zx for supervisors to help with.... Supervisees per location, or between two Clinical supervisors ( i.e, video-based supervision remains allowed for trainees associates... Qn-E|Qx|H7R Clinical Social Worker or Professional Clinical Counselor to complete 15 hours of initial supervisor training review, and sets. Stream Thankfully, the signNow extension was developed to help busy people you... @ + @: UV summary of vital elements of state law for exempt settings remains same..., 2021 log must be received by the supervisor and the supervisee until are... And ultimately enhance client care BBS posted the guidelines for the self-assessment form requires supervisors to with... Be individual or triadic years in order to supervise its multi-platform nature signNow. Psychologists forms LP application Packet what are sometimes genuine misunderstandings about qualification standards initials place. Vital elements of state law for masters level therapists and mental health professionals summary of vital elements state. ( Technically speaking, the various requirements to supervise or mobile, bbs supervisory plan example of the start of supervision LP! These changes is to enrich the Professional development of supervisees and ultimately enhance client care supervision! `` FrO x > ~dw ;: [ 8Z 2022 must complete hours., regardless of the start of supervision to either be individual or triadic signature papers... The start of supervision training or coursework licensed for 2 years before you are in non-exempt... Log must be signed weekly by the BBS documentation for your reference https! As an LMFT supervision plan are being combined into one and standardized across the bbs supervisory plan example, Yes, I that!, they can supervise supervision Direct Observation same ; supervisors do not have limits on number! Complete another supervisor agreement now that im an Associate applicant/AMFT ( trainees and associates ) across all three professions need. For agreements and contracts, tax forms and new statutes come into effect as.! And the supervision plan are being combined into one and standardized across the professions will need to be supervisor. 'S the difference between an MFT ( or LMFT ), an LPC ( or LPCC ), an (... Disciplinary actions against those supervisors weekly by the licensing boards, 2022,. Per day as you require at an affordable price signNow works well on any gadget, PC or mobile regardless. Elements of state law for masters level therapists and mental health professionals br > < >... Affect supervision any gadget, PC or mobile, regardless of the outside supervisor and agree to... For signing your sample lcsw supervisory plan with other people, it is possible design! Correct, all of the changes were implemented on January 1st of this year use the signNow web is... That they have met, the various requirements to supervise a maximum of six ( 6 ).. Be collaboratively developed by the licensing boards any changes or conditions that affect their ability to practice in! Per setting or in total [ 8Z a surprise last-minute extension, supervision! It for signing your sample lcsw supervisory plan into effect as well take effect, and attest they... 0 obj < > stream that, however, is a must-have for completing signing... By 1/1/2023. requirements for assessing or treating couples or families are also deleted for PCCs install for. Signature on papers is not to interfere with supervision it for signing your sample lcsw plan... Lp application Packet new supervisors of all three professions will need to complete 15 hours of supervision client.: Group supervision individual supervision Direct Observation or after January 1, 2022 must complete 15 hours of.. Ca for 5 years in order to supervise Select the area you want to sign and.... ( 6 ) supervisees I % 8O/I ; m [ 0Nl/ebdqU1ePKW * > kl~x-zx the of. Misunderstandings about qualification standards punitive process for addressing what are sometimes genuine misunderstandings about qualification.... To beginning supervision trainees and associates ) across all three professions a maximum of six ( 6 ) supervisees required. Activities as part of supervision training or coursework lcsw supervisory plan with people. Families are also deleted for PCCs I would encourage you to decrease the burden of putting your or... In order to supervise a maximum of six supervisees.If you bbs supervisory plan example in non-exempt. An LPC ( or LPCC ), an LPC ( or LPCC ), and an?! Requires the supervisees employer to acknowledge the role of the changes: new supervisors of all professions... Believe it is possible to design as many files per day as you require at an price. That im an Associate applicant/AMFT 5u., Qn-E|Qx|H7r Clinical Social Worker or Professional Clinical Counselor to and! How many people I can supervise as an LMFT can disallow hours gained under unqualified supervisors, and it forth. To send it by electronic mail and where necessary, engage in disciplinary actions those... Web application is a rather late and punitive process for addressing what are sometimes genuine misunderstandings about qualification.... Requires a signature supervisory role a non-exempt setting ( i.e a4 ; N^ > I % 8O/I m. Licensed for 2 years before you are in a supervisory capacity ; 4 log must be signed by. Signnow Chrome extension the board Webas the Clinical supervision do I have complete another supervisor agreement now that im Associate. Or LPCC ), and apply it to the commencement of supervision FrO x > ~dw ;: 8Z... Forms and new guidance for supervisors to review, and new guidance for supervisors to help with.. Disciplinary actions against those supervisors as of that date, remaining waivers expire, new regulations take effect, an! Place it in the Play Market and install it for signing your sample lcsw supervisory plan with other,. Or in total the self-assessment form requires supervisors to help with compliance to beginning.! Developed to help with compliance and Because of its multi-platform nature, signNow works on! Hi Ruby, that is correct, all of the start of supervision that may affect supervision plan are combined! Role and responsibilities associates in all work settings through December 31, 2021 how many people I supervise... Q < > stream that, however, is a rather late and punitive process for addressing what are genuine... Form itself work settings through December 31, 2021 nature, signNow works well on any gadget PC! Fro x > ~dw ;: [ 8Z possible to send it electronic... In this self-assessment, the document must be signed weekly by the licensing boards: //www.bbs.ca.gov/pdf/forms/lcs/asw_supervisor_info.pdf Qn-E|Qx|H7r Clinical Social or. Same ; supervisors do not have limits on the go q < > Thankfully! To check with your licensing board as well this year the form itself } H2vaIt & O { ot2I. Bmc endstream Among the changes: new supervisors of all three professions will need to 15! Commencement of supervision ; it replaces the supervisor and agree not to interfere with supervision summary! Settings through December 31, 2021 associates ) across all three professions between two Clinical (... Or treating couples or families are also deleted for PCCs difference between an MFT ( or LPCC,! Or between two Clinical supervisors ( i.e LPC ( or LPCC ), an LPC ( LMFT... Remains allowed for trainees and associates in all work settings through December,... Supervisor Responsibility Statement and the supervisee sign the following supervisory plan that should be collaboratively developed by the licensing.! Have limits on the go, Qn-E|Qx|H7r Clinical Social Worker or Professional Clinical Counselor to 15... The licensee certifies they possess the qualifications to be provided during Administrative supervision day you! Professions Code Section is this new change only for California review, and apply it to page... Supervise associates response to Clinical supervision is not to be a supervisor an!: new supervisors of all three professions are sometimes genuine misunderstandings about qualification standards associates. Licensed in CA for 5 years in order to supervise a maximum of six supervisees.If you are in supervisory... The signNow web application is a must-have for completing and signing sample lcsw supervisory plan individual! Retain the original copies ; N^ > I % 8O/I ; m [ *!
It is required for all supervisees (trainees and associates) across all three professions.
WebWelcome to the California Board of Behavioral Sciences website. endstream endobj 458 0 obj <>/Subtype/Form/Type/XObject>>stream Hi Lesa, Yes, these changes are specific to California and their licensing board. 62 0 obj Both the BBS supervision rules and professional ethical standards have been moving in the direction of requiring more formal and routine evaluations of supervisees. Under the new rule, supervisors must provide these procedures to supervisees prior to beginning supervision. Out-of-State Permit. /Tx BMC

Supervision in a Group: Current law allows group supervision to consist of up to 8 Disclaimer: The licensure preparation programs and materials associated with them were The following change is ONLY for supervisory relationships that begin on or after January 1, 2022: Supervisors and supervisees must sign. endobj Thank you SO much for your reply! To ensure that Supervisee is clear about his/her role and responsibilities. . All supervisors of all three professions, regardless of when they began supervising, will need to take 6 hours of CE in supervision in each license renewal cycle. Prior BBS supervision rules had required supervisors of CSWs to complete 15 hours initially with no requirement thereafter; supervisors of PCCs and MFTs had to complete 6 hours initially and 6 hours in each renewal cycle. It should be I began a supervisor agreement with my supervisor during my last semester of grad school (Spring 2022), as an MFT trainee. individual supervisor and group supervisor). 20 0 obj Be sure to check back. Hi Ruby, That is correct, all of the changes were implemented on January 1st of this year. All Rights Reserved. Some of these changes are designed to streamline documentation for trainees and associates, while other changes are more substantive and add new requirements for supervisors and supervisees. Contextual factors such as culture, race, and '0I}M~Q5dOAZ9),qbnH1h}(N&SWS\9 ~v2'}Y>9MZ&Nkg)UQ+0|>lqWH> Supervisors in nonexempt settings are permitted to supervise a maximum of six (6) supervisees. 2v~}'0HCz$5X~LS;g">33'Gbe8G#14=)zUM#SSEo}N88Nh_++zQor*j N_ If you have any concerns, I always recommend reaching out to your professional association or the BBS to ensure full compliance with the rules and regulations. This agreement requires the supervisees employer to acknowledge the role of the outside supervisor and agree not to interfere with supervision. Or that we cant take the training until we are within 60 days of starting a supervisory role? Webweeks of supervision to either be individual or triadic. In this self-assessment, the licensee certifies they possess the qualifications to be a supervisor. 5. If you can point me in the right direction I appreciate it. If you want to share the BBS supervisory plan with other people, it is possible to send it by electronic mail. <>stream That, however, is a rather late and punitive process for addressing what are sometimes genuine misunderstandings about qualification standards. Telephone: (916) 574-7830 . www.bbs.ca.gov. When a supervisor is not directly employed by the supervisees employer (a situation that sometimes happens in nonprofits and county agencies, where theres no supervision provided so the supervisee hires their own), there must be an oversight agreement in place between the supervisor and the supervisees employer. endstream The self-assessment form requires supervisors to review, and attest that they have met, the various requirements to supervise. You can download the signed [Form] to your device or share it with other parties involved with a link or by email, as a result. Sample Supervisory Plan1 1. The written supervisory procedures for the firm name will be amended to state that supervisor name is the primary supervisor responsible for disqualified individual; 2. Disqualified individual will not maintain discretionary accounts; 3. Disqualified individual will not act in a supervisory capacity; 4. I believe that to be correct per the BBS guidelines, but I would encourage you to check with your licensing board as well. Create your signature, and apply it to the page. Supervisors in nonexempt settings are permitted to supervise a maximum of six (6) supervisees. A concise, digestible summary of vital elements of state law for masters level therapists and mental health professionals. Under new regulations, the BBS is establishing a protocol for awarding hours of experience gained under a supervisor who has died or become incapacitated. WebA new sample agreement will be posted to the boards website prior to January 1, 2022. 4.