Forms
New e-Licensing System Now Available
The State is actively working to modernize the ways we serve the citizens and taxpayers of Arizona. Our Digitize Arizona Initiative focuses on moving services online and enhancing our applications to be more user friendly, which will help citizens more easily connect with the services they need and allow the State to do business better and faster.
Starting May 15, 2018, all applications, renewals, service requests and payment for these services will now be managed through this online system.
There are a variety of forms required for different licensing actions. Below, by category, are the forms you will need to complete for each type of action:
INITIAL APPLICATION - First Time Submission
PRACTICE IS PROHIBITED BY LAW PRIOR TO ISSUANCE OF A LICENSE. APPLICANTS ARE URGED TO NOT ENTER INTO IRREVOCABLE CONTRACTS, PURCHASE, OR SALES AGREEMENTS ON THE ASSUMPTION THAT LICENSURE WILL BE GRANTED.
| Apply Online |
Please read the statement regarding disclosure of criminal history prior to completing your application. If you require a paper application, please send an email to [email protected] or call Vicki at 602-589-8352. |
| The following forms must be completed along with your initial application. All forms (except the fingerprint card) can be scanned and uploaded with your application. Board staff is developing forms that can be completed and signed online so you won't have to scan them in the future. | |
| Professional Recommendation Forms | Two must be submitted. |
| Statement of Citizenship | Arizona Revised Statutes § 41-1080 requires, in general, that a person applying for a license must submit documentation to the license agency that satisfactorily demonstrates the applicant’s presence in the United States is authorized under federal law. |
| List of Documents for Evidence of U.S. Citizenship, U.S. National Status, or Alien Status | Along with the Statement of Citizenship, you must submit document(s) proving your citizenship status. |
| Verification of Licensure from Other States | You may use this form to have other states verify your licensure. |
| NBCOT Verification | This link will take you to the NBCOT website, where you can request they send ABOTE a verification of your certification. |
| Fingerprints on FBI Form FD-258 |
The Board does not accept fingerprint clearance cards. You must submit your fingerprints on form FD-258, along with the $22 processing fee. Fingerprinting Instruction Form If you need a fingerprint clearance card for employment, go to https://www.azdps.gov/services/public/fingerprint. |
LIMITED PERMIT
If an individual has completed their school requirement but has not yet taken their NBCOT exam, they may apply for a limited permit. In order to obtain a limited permit all of the documents listed above for the initial application must be submitted (except the NBCOT verification) . In addition the following documents must be included:
- An official transcript from the educational institution issuing the degree or an official letter of completion on the educational institution's letterhead.
- Direct Supervision Form
RENEWAL APPLICATION
| Renew Online |
Please read the statement regarding disclosure of criminal history prior to completing your application. If you require a paper application, please click here. |
| The following forms must be completed along with your initial application. | |
| Arizona Statement of Citizenship | If you have previously submitted documentation of your citizenship or right to work in the United States and if nothing regarding that information has changed then you are not required to resubmit the information. A scanned copy of this form and accompanying documents can be updated to your online renewal application. |
| Continuing Education | See Continuing Education for details. Be sure to provide copies that verify attendance at the continuing education event. Scanned copies of continuing education certificates can be uploaded to your online renewal application. |
OTHER RELATED FORMS
If you need the Board to verify your Arizona License to another state please use the following form to submit your request:
