Initial Application
Complete an initial application if you've never held a license as an occupational therapist or occupation therapy assistant - or if it has been more than 180 days since your license expired.
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.
Please read the statement regarding disclosure of criminal history prior to completing your application.
| Step | Description | Resource |
| 1 | Have your fingerprints rolled onto form FD-258, which can usually be obtained at your local law enforcement office. THE BOARD DOES NOT ACCEPT FINGERPRINT CLEARANCE CARDS. Mail this card to the Board office (address below). | Fingerprint Card Instructions |
| 2 | Request a verification of your certification from the NBCOT. If you have not taken your exam, request a score transfer when you register for the exam. If you have already passed the exam, complete the online request for verification of your certification. | |
| 3 | Obtain professional recommendations from two health professionals. | Recommendation Form |
| 4 | Complete your Statement of Citizenship form. (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.) | Statement of Citizenship |
| 5 | Scan the document that proves your citizenship status. | List of Accepted Documents |
| 6 | Request verification of licensure from all states you have held a medical professional license, including those that are expired. You may use the forms provided by the other states, or our form. Verification must come DIRECTLY from the state. | Verification of Licensure |
| 7 | Scan all of the completed forms into separate files. You will upload these documents to your online application. | |
| 8 | Complete the online application and pay your fees. | Apply Online |
If you require a paper application, please send an email to [email protected] or call Vicki at 602-589-8352.
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 EducationSee 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:
Verification of Arizona License
Change of Address, Name or Employer
Request for Public Record (to include mailing lists)
Public Record Statute
Small Business Bill of Rights
Fee Waiver Application
