Some of the below forms are available to be filled and submitted via either Google Chrome, Mozilla Firefox or Microsoft Internet Explorer. Please open the form in one of those browsers and submit them online.
Address / Name Change
Forms
Application for Licensure by Endorsement
Attachment
Forms
Application for Licensure by Examination
Attachment
Forms
Application for Licensure by Reciprocity
Attachment
Forms
Application for Licensure by Universal Recognition
Attachment
Forms
Board-Approved Monitor and Evaluator Application
Attachment
Forms
Board-Approved Trainer Application
Attachment
Forms
Business Entity Registration and Application
Attachment
Forms
Complaint Form
Forms
Continuing Education (CE) Course Renewal Application
Attachment
Forms
Continuing Education - PACE PreCheck Course Application
Attachment
Forms
Continuing Education Course Application with Online Addendum
Attachment
Forms
Extern Application for Preceptorship
Attachment
Forms
Inactive/Retired Request Form
Attachment
Forms
License Verification Request.pdf
Attachment
Forms