Cancellation Form

Cancellation Form

If an RBT needs to cancel for whatever reason, it is their responsibility to notify the BCBA, client, and school.
Name*

First NameLast Name
Client's First Name*
Client's Last Name*
State*
Session Date and Time*
RBTClient
Reason for cancellation*
YesNo
YesNo
YesNoNA
Add 15 minutes at the end of future sessions (for sessions less than 8 hours)Schedule additional session this weekSchedule session on weekendOther
Please note:

* Sessions can never be longer than 8 hours

* Obtain approval for your state director if you'd like to work more than 40 hours in one week
Provide more details on make-up plan
Blue Id
Should be Empty: