Edit, Download, and Sign the RBT Application for Voluntary Inactive Status
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out this form, you'll need to provide necessary details and follow specific instructions. Ensure that all required fields are completed accurately before submission. Detailed steps are provided below for reference.

How to fill out the RBT Application for Voluntary Inactive Status?
1
Complete the application and submit through the Contact Us Form.
2
Pay the $25 nonrefundable processing fee within two weeks of receiving the email instructions.
3
Allow two weeks for processing after payment.
4
Monitor email for approval confirmation or further instructions.
5
Ensure voluntary inactive status starts on the day of application and payment approval.
Who needs the RBT Application for Voluntary Inactive Status?
1
RBTs currently in their renewal cycle needing voluntary inactive status.
2
RBTs who will be unable to practice and seek to avoid renewal fees for up to two years.
3
RBTs planning on relocating to regions where certification impact exists post-January 1, 2023.
4
RBTs needing to report health or safety-related incidents to their supervisor and BACB.
5
RBTs intending to meet supervision documentation requirements during inactive status.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the RBT Application for Voluntary Inactive Status along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your RBT Application for Voluntary Inactive Status online.
Editing your PDF is simple on PrintFriendly. Open the PDF in our editor, and you can begin making changes instantly. Save your edited document and proceed according to the form's instructions.

Add your legally-binding signature.
Signing your PDF on PrintFriendly is effortless. Use our integrated e-signature feature to digitally sign your document. Complete the process conveniently without needing any additional software.

Share your form instantly.
Sharing your PDF on PrintFriendly is easy. Once you've completed and saved your document, use our sharing options to send it directly via email or generate a shareable link. Communicate your document efficiently with anyone, anywhere.
How do I edit the RBT Application for Voluntary Inactive Status online?
Editing your PDF is simple on PrintFriendly. Open the PDF in our editor, and you can begin making changes instantly. Save your edited document and proceed according to the form's instructions.
1
Open the PDF using the PrintFriendly PDF Editor.
2
Make necessary edits to the form fields.
3
Use available tools to add text, annotations, and highlight important information.
4
Save the edited document on your device.
5
Follow the form's instructions to complete the submission process.

What are the instructions for submitting this form?
Complete the application and submit it through the Contact Us Form before your expiration date. Wait for an email with payment instructions and pay the $25 nonrefundable processing fee within two weeks. Processing takes up to two weeks after payment. Monitor your email for confirmation or further instructions. Reinstatement requires submitting a request within two years.
What are the important dates for this form in 2024 and 2025?
Pay processing fee within two weeks from email notification. Begin inactivity on application and payment approval date. Ensure reinstatement request within two years to avoid expiration.

What is the purpose of this form?
The purpose of this form is to provide Registered Behavior Technicians (RBTs) with the means to apply for voluntary inactive status. RBTs who are in their renewal cycle and have not passed their expiration date can request inactive status to avoid renewal fees and obligations for up to two years. This form requires completion of various sections, including personal information, supervision history, and required reporting acknowledgments. By submitting this application, RBTs affirm their understanding of the inactive status terms and agree to abide by reporting requirements during this period. If all requirements are met, the BACB will grant voluntary inactive status. Monitoring and communication throughout the process ensure compliance and confirmation of the inactive status application.

Tell me about this form and its components and fields line-by-line.

- 1. RBT's Full Legal Name: Provide the full legal name of the RBT applicant.
- 2. RBT Certification #: Enter the certification number located in the applicant's BACB account.
- 3. Ability to Practice: Affirmation that the applicant will not practice, bill, or represent themselves as an RBT while inactive.
- 4. Supervision: Select and affirm supervision status since the last renewal or original certification date.
- 5. Required Reporting: Affirm understanding of reporting requirements related to health, safety, and disciplinary incidents.
- 6. Attestation: Acknowledge understanding and agreement to abide by BACB rules, terms of use, and reporting requirements.
- 7. Signature: Provide a digital or manual signature to attest to the accuracy and completeness of the application information.
- 8. Date: Enter the date of form completion and signature.
What happens if I fail to submit this form?
Failing to submit this form will result in losing the opportunity to apply for voluntary inactive status and may lead to certification expiration.
- Certification Expiration: Your RBT certification will expire if not reinstated within the required timeframe.
- Ineligibility for Inactive Status: You will no longer be eligible to apply for voluntary inactive status after missing the deadline.
- Renewal Fees: You will need to submit an annual RBT Renewal Application and fees if inactive status is not granted.
How do I know when to use this form?

- 1. Renewal Cycle: You are currently in your renewal cycle and have not missed the expiration date.
- 2. No Practice: You will not practice, bill, or represent yourself as an RBT during the inactive status period.
- 3. Relocation: You plan to stay in a region where BACB certification might be affected post-January 1, 2023.
- 4. Supervision Documentation: You need to document supervision status and meet requirements since your last renewal or certification date.
- 5. Health or Safety Reporting: You need to report incidents affecting your ability to provide behavior-analytic services or public health and safety.
Frequently Asked Questions
How do I start filling out this form?
Open the PDF in the PrintFriendly PDF Editor, and follow the instructions for each section.
How do I pay the processing fee?
You'll receive an email with instructions on how to pay the $25 nonrefundable fee, which must be done within two weeks.
How long does processing take after submitting the form?
Processing takes about two weeks after payment submission. Monitor your email for updates and confirmation.
What happens if my application is not approved?
You'll receive feedback via email with required next steps and may have an opportunity to resubmit a corrected application within two weeks.
Am I allowed to practice as an RBT while my status is inactive?
No, inactive RBTs are not permitted to practice, bill, or represent themselves as RBTs.
Do I need to report health or safety-related incidents?
Yes, you must report any relevant incidents to your RBT Supervisor or Requirements Coordinator and the BACB.
Can I still maintain my supervision requirements during inactive status?
You must declare if you met supervision requirements or did not practice since your last renewal or original certification date.
How do I sign the PDF form?
Use the e-signature feature in PrintFriendly’s PDF Editor to sign the form digitally.
Can I share the completed form?
Yes, you can share the edited and signed form using PrintFriendly’s sharing options, via email or a shareable link.
What if I miss the deadline to reinstate my certification?
If not reinstated within two years, your certification will expire, and you must reapply under the new requirements.
Related Documents - Voluntary Inactive RBT App

All India Survey on Higher Education Data Capture Format 2019-2020
This file is the All India Survey on Higher Education for the year 2019-2020. It contains data capture formats for colleges and institutions affiliated by the university. The information includes college details, contact information, and geographical referencing.

Soquel High School Cheerleader Registration Packet 2024-2025
This file contains important information for students considering applying for the cheerleader position at Soquel High School. It includes dates, costs, and instructions for tryouts and participation. Make sure to review and get parental approval before proceeding.

Effective Summer Learning Program Planning Toolkit
This file offers guidance and evidence-based tools for delivering effective summer learning programs. It covers planning, recruitment, staffing, and more. The toolkit is designed for education leaders and program managers.

Student Application Form for Rand Training College
This file is a student application form for Rand Training College, including admission requirements and course details. It requires personal information, previous academic records, and other supporting documents. Complete the form to apply for courses offered by the college.

Special Education Evaluation Report - Vermont Agency
This file contains the Special Education Evaluation Report for a student named Mateo Velez. It includes details about the evaluation plan, team members involved, and assessment procedures used. The document is designed to determine the student's eligibility for special education services.

KinderCare Education Enrollment Agreement Form
This file is the enrollment agreement for KinderCare Education. It collects crucial information for your child's enrollment, classroom/program assignment, and compliance with childcare licensing regulations. Make sure to fill it out accurately to ensure a smooth enrollment process.

Bonafide Student Certificate & Scholarship Consent Forms
This file contains the Bonafide Student Certificate template, consent form for the use of Aadhaar/EID numbers in a state scholarship application, and an institution verification form for scholarship applications. It is intended for students applying for state scholarships and institutions verifying student information.

NIOS Prospectus 2011-12 for Gulf, Kuwait, Qatar
This file provides details and instructions for admission to the National Institute of Open Schooling (NIOS) for secondary and senior secondary courses in Gulf, Kuwait, and Qatar. It includes information on the admission process, available subjects, and other essential details. It is useful for prospective students seeking flexible and accessible education options.

Undergraduate Bursary and Loan Opportunities for 2024 at University of Cape Town
This file provides information about the bursary and loan opportunities available for undergraduate students at the University of Cape Town for the academic year 2024. It includes details about financial aid, scholarships, and bursaries offered by the university and external organizations. Students can find instructions on how to apply and important contact information in this comprehensive guide.

KBCNMU Permanent Affiliation Proposal 2024-25 Guidelines
This file provides detailed guidelines for filling out the Permanent Affiliation Proposal for 2024-25 for Kavayitri Bahinabai Chaudhari North Maharashtra University. It includes instructions for processing fees, submission process, and necessary documents. The document is essential for institutions seeking permanent affiliation with the university.

KVS Fee Collection and Surplus Funds Management 2014
This file contains information about the fee collection process through banks and the management of surplus funds for Kendriya Vidyalaya Sangathan (KVS). It details the pilot project, phases of implementation, and instructions for schools. It also includes guidelines for filling out student information online and tripartite accounts.

Clear Lake PTO Reading Support Coupon Book Sales Order Form
This form is used for purchasing coupon books to support reading programs at Clear Lake. The funds will help provide classroom assistance, technology for audiobooks, and more books for the library. Please fill out the form to help support the school.