Therapists Forms
Forms
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
- Initial Application
- Professional Recommendation Form (2 are required)
- Arizona Statement of Citizenship
- Verification of Licensure from Other States
- List of Acceptable Documents for Proof of Citizenship
In addition, you will need to have the National Board for Certification in Occupational Therapy (NBCOT) provide verification of your passing the board exam. The following is the link to their website where you will find the information you need to accomplish this part of the application process.
Finally, you will need to submit your fingerprints. Fingerprints can be done at most any police station. Below are instructions for having your fingerprints done. These instructions include a sample of the fingerprint card. DO NOT use this sample in place of an actual card.
PAYMENT FOR INITIAL APPLICATIONS MUST BE MADE BY MONEY ORDER OR CASHIER'S CHECK.
LIMITED PERMITS
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. 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
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 will not be required to resubmit the information.
As such, we are requesting that you sign the positive affirmation, included in the renewal section of the application below, certifying that nothing has changed with regard to your citizenship or right to work status.
- Renewal Application
- Arizona Statement of Citizenship
- List of Acceptable Documents for Proof of Citizenship
- Continuing Education - see Continuing Education for details but be sure to provide copies that verify attendance at the continuing education event.
PAYMENT FOR RENEWALS CAN BE MADE BY CASH (DO NOT MAIL CASH), CHECK, MONEY ORDER OR CASHIER'S CHECK
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:
