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

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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2019 RENEWAL FORMS CANNOT BE MAILED OR EMAILED UNTIL 11/1/18 Forms below are for 2019

2019 LBA RENEWAL FORM

2019 SCaBA RENEWAL FORM

2019 LINE TECHNICIAN RENEWAL FORM

CEU REPORTING INSTRUCTIONS

CEU REPORTING FORM

Click print, then preview in PDF and a copy will be created to your computer which is in a fillable format. 

Supervisory Discontinuation Form

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Supervisory Change Form within Same Company

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