Forms

You will need Adobe Reader (free) to download the forms marked [PDF]. The forms marked [DOC] will open in your word processor and you may fill them in using your computer.

Licensure

OT/OTA Application Completion Checklist [PDF]
Jurisprudence Exam [DOC]
Application for Licensure [PDF]
Verification Of Employment [PDF]
OTR Provisional Permit Supervisory Form [PDF]
COTA Provisional Permit Supervisory Form [PDF]
COTA Supervisory Form [PDF]
Supervision Log [PDF]

Continuing Education

Continuing Education Application [PDF]
OT Video Continuing Education Application [PDF]

Renewal

General Renewal Fact Sheet [PDF]
Online Renewal
Renewal Form [DOC]

Other Forms

Service Satisfaction Survey [PDF]
Consumer Information Sign [PDF]
Mentoring Instructions and Mentoring Log [PDF]
Credit Card Authorization Form [PDF]
Electronic Data Agreement Form [PDF]