Applicants

How to Apply

To apply for a license or certificate, complete all applicable forms below and submit with other required materials to the address listed on the application.

BCBA’s and BCaBA’s must submit the following forms:

• Form 06LC001E: Application Form
• Form 06LC002E: Professional Reference Form
• Form 06LC004E: Statement of Professional Disclosure Form

BCaBA’s must also include:

• Form 06LC005E: Professional Supervision Form

Include the following with application:

• Application fee
• Photocopy of valid photo ID
• Photocopy of current Board Certification

Problems Opening Forms?

Make sure you have a current version of Adobe Reader. Get Adobe Reader. ​

When opening the .pdf form from a web-browser such as Firefox, Microsoft Edge, or Chrome:

1. Download the form – right click on the link and select save link as and save it to your computer.
2. Open the file  – right click on the file and choose open with Adobe Reader.

For questions about the licensure/certification process or to inquire about the status of your license/certificate, email OLBAB@okdhs.org or call 405-882-8620.