Applications and Forms
Occupational Therapist
Occupational Therapy Assistant
Temporary Occupational Therapist
Temporary Occupational Therapy Assistant
Reactivation Expired/Inactive Occupational Therapist
Reactivation Expired/Inactive Occupational Therapy Assistant
To download a paper application, click on the link below:
Continuing Education Applications
Sponsor (PDF)
Individual (PDF)
Reactivation Applications
(for EXPIRED or INACTIVE licenses)The reactivation application has been moved to an online process. To review the requirements and submit your reactivation application online login to your account at www.pals.pa.gov and click the pencil icon next to your license number to start the reactivation process.
Forms
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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