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Applications

Administrator License Application  PDF
AIT Registration Application  PDF
Preceptor Registration Application  PDF
​Provisional License Application  PDF
Examination Application  PDF
Supplemental Application: Authorization to Practice through Military Training or Experience Equivalency  PDF
Supplemental Application: Authorization to Practice for Military Spouse or Domestic Partner  PDF
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License Verification

Affidavit of Licensure Request Form  PDF
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Licensee Information Update

Address or Employment Changes
Authorization Holder Information Update Form   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  PDF
Public Records Request Form   PDF
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