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.

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.

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.

• 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.

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.

• 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.