Applications/Forms
The following files are in portable document format (PDF) and require the Adobe Acrobat Reader to view and print.
Application by Examination
Reference Form - Three (3) references required
Application by Endorsement
Verification of Occupational Therapy Employment
Verification of Occupational Therapy License
Application for Reinstatement
Supervisory Agreement for Reinstatement Form
Verification of Occupational Therapy Employment
Verification of Occupational Therapy License
Other Applications/Forms
Change of Name Form - Legal document required (See fee schedule for appropriate fee)
Check the Status of Your Application
License Verification Request - Verification to another state
