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Administrator License Application  WORD | PDF
AIT Registration Application  WORD | PDF
Preceptor Registration Application  WORD | PDF
​Provisional License 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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License Verification

Affidavit of Licensure Request Form  WORD​
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Licensee Information Update

Address or Employment Changes
Customer Information Update Form  WORD | PDF​
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Continuing Education

Continuing Education Approval Request  WORD
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Online License Renewal

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Consumer Forms

Consumer Complaint Form  WORD
Public Records Request Form  WORD​
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