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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:

 NO FEE NOTARY SERVICES ARE AVAILABLE AT THE OFFICE

PAYMENT CAN BE MADE BY CASH, CHECK, MONEY ORDER OR CASHIER'S CHECK

 INITIAL APPLICATION - first time submission

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.

 

 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.

 

 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:

 

The forms are in PDF file format and require Adobe Acrobat Reader to view. You can get this free software from the Adobe WEB site. Get Acrobat Reader

 

 

Search for Occupational Therapists

Phone: 602-589-8352
Fax: 602-589-8354
4205 N. 7th Avenue, Ste. 305, Phoenix, AZ  85013

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