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License Information Updates

Update Your Licensing Record
Customer Information Update Form  WORD | PDF
Affidavit of Licensure  WORD​
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Licensing Applications

Permanent License Application  WORD | PDF
Temporary License Application  WORD | PDF​
​Certification of Training PDF
​Supervisor Declaration of Responsibility  WORD | PDF
Trainee Registration Application  WORD | PDF
Examination Application  WORD | PDF​
Supplemental Application: Authorization to Practice through Military Training or Experience Equivalency WORD | PDF
Supplemental Application: Authorization to Practice for Military Spouse or Domestic Partner WORD |PDF​
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Consumer Forms

Complaint Form  WORD
Public Records Request Form  WORD​
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