Applications/Forms

Apply Online

*These forms must be completed and submitted to the Board as part of the online application process.

Paper Applications

Application by Examination

Exam Procedures

Application by Endorsement

Endorsement Procedures

Verification of Occupational Therapy License

Application for Reinstatement

Application Form

Reinstatement Procedures

Supervisory Agreement for Reinstatement Form

Verification of Occupational Therapy Employment

Verification of Occupational Therapy License

Other Applications/Forms

Change of Address Request

Change of Name Form - Legal document required (See fee schedule for appropriate fee)

Complaint Form

License Verification Request - Verification to another state

Licensee List Request