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Applications and Forms

 
APPLY ONLINE for the following:
 
Occupational Therapist
Occupational Therapy Assistant
Temporary Occupational Therapist
Temporary Occupational Therapy Assistant
 
 
To download a paper application, click on the link below:
 

Application (Initial Licensure)

 

Continuing Education Applications

Sponsor (PDF)

Individual (PDF)  

 

Reactivation Applications

(for EXPIRED or INACTIVE licenses) 

 

Forms

Duplicate License (PDF) (or submit online)

NOTE:  As a result of document fraud and in an effort to protect its licensees, the Board will only provide direct source verification of your license to another state licensing agency.

 
 

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