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Always refer to the BACB website to access and review the current versions of the RBT Ethics Code and the Ethics Code for  Behavior Analysts, as well as the current versions of the relevant handbooks. More guidance on self-reporting requirements and considerations can be found in the November 2016 and April 2017 BACB Newsletters. If you area certificant with a BACB required supervisor, consider consulting with them before submitting your self-report.  \nThis checklist is based on sections 3.02 and 3.04 of the RBT Ethics Code (2 . 0) and section 1.16 of the Ethics Code for Behavior Analysts, as well as the current versions of the relevant handbooks. Timely reporting requires the individual to self-report within 30 days of becoming aware of any conditions listed in these sections.  \nIf you answer yes to any of the questions, you should self-report to the BACB Ethics Department.  \n\n| Related Ethics Requirement Element | Question to consider | Yes | No |\n| --- | --- | --- | --- |\n| RBT Handbook\u003Cbr>(pg. 22)\u003Cbr>BCaBA Handbook\u003Cbr>(pg. 34)\u003Cbr>BCBA Handbook\u003Cbr>(pg. 38)\u003Cbr>RBT Ethics Code (2 . 0)\u003Cbr>3.04\u003Cbr>Ethics Code for Behavior Analysts\u003Cbr>1.16 | Have you violated an ethics requirement? |  |  |\n|  | Have you been the subject of any criminal legal actions, including filing of criminal charges, arrest, plea of guilty or no contest, presentencing agreements, diversion agreements, convictions, and any period of custody in a jail, prison, or community corrections setting such as a “halfway house”? |  |  |\n|  | Have you been the subject of any civil legal actions, including filing of lawsuits, or any legal actions in which you have been named or identified (even if not a direct party to the suit)? |  |  |\n|  | Have you been the subject of any regulatory actions, including investigations, consent agreements, administrative law proceedings, mediation, arbitration, etc.? |  |  |\n|  | Have you been the subject of any healthcare agency and employer actions, including investigations and sanctions for incompetent or neglectful service delivery? |  |  |\n|  | Have you been issued a public health-and safety-related ticket or fine related to an incident that may indicate a physical or mental condition that could impact the competent delivery of services? |  |  |\n|  | Have you been issued a public health-and safety-related ticket or fine related to an incident that is evidence of another Compliance Code violation (e.g. , a citation for negligently leaving a client unattended)? |  |  |\n|  | Have you been issued a public health-and safety-related ticket or fine related to an incident where a client was present (regardless of the amount of the fine)? |  |  |\n|  | Have you been issued a public health-and safety-related ticket or fine related to an incident that involved the operation of a motor vehicle and the fine was greater than $750? |  |  |\n|  | Have you been issued a public health-and safety-related ticket or fine related to an incident that you were required to report to your professional liability insurance provider? |  |  |\n\nVersion 08/2021, Copyright © 2019, BACB® | All rights reserved. Behavior Analyst Certification Board | Considerations for Self-Reporting | 1  \n| Related Ethics Requirement Element | Question to Consider | Yes | No |\n| --- | --- | --- | --- |\n| RBT Handbook\u003Cbr>(pg. 22)\u003Cbr>BCaBA Handbook\u003Cbr>(pg. 34)\u003Cbr>BCBA Handbook\u003Cbr>(pg. 38)\u003Cbr>RBT Ethics Code (2 . 0)\u003Cbr>3.04\u003Cbr>Ethics Code for Behavior Analysts\u003Cbr>1.16 | Have you been issued a public health-and safety-related ticket or fine related to an incident that you were required to report to a client’s third-party payer? |  |  |\n|  | Have you been issued a public health-and safety-related ticket or fine related to an incident that you were required to report to a governmental regulatory board? |  |  |\n|  | Have you been the subject of any investigat","cbCaincBWU8Yp35h","https://ap.wps.com/l/cbCaincBWU8Yp35h","pdf",308015,"English","# Considerations for Self-Reporting\n## Checklist for self-reporting decisions\n## Supporting documentation preparation","[{\"question\":\"When should a self-report be submitted after becoming aware of relevant conditions?\",\"answer\":\"Timely reporting requires self-reporting within 30 days of becoming aware of any conditions listed in the referenced code sections.\"},{\"question\":\"Which types of incidents suggest you should self-report to the BACB Ethics Department?\",\"answer\":\"Any ethics requirement violations, certain criminal or civil legal actions, regulatory actions, healthcare/employer sanctions, and public health-and-safety-related tickets or fines that relate to conditions affecting service delivery can require self-reporting.\"},{\"question\":\"Do supervision and documentation failures require self-reporting?\",\"answer\":\"Yes. The checklist includes questions about providing services without a qualified supervisor, not meeting supervision requirements, failing to maintain documentation, and failing to meet or document supervision requirements for trainees who have not already self-reported.\"}]","Considerations for Self-Reporting | PDF",13]