How to Apply

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

Download – Form 06LC001E: Application Form (.doc)

Include the following with the application:

  • Application fee
  • Photocopy of current national Board Certification

Problems Opening Forms?

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

  1. If you have a current version of Adobe Reader, If using a web-browser such as Firefox, Microsoft Edge, or Chrome, you may get an error message like:
    The document you are trying to load requires Adobe Reader 8 or higher. You may not have the Adobe Reader installed or your viewing environment may not be properly configured to use Adobe Reader.
  2. Try opening the document with Internet Explorer, if you can.
  3. If Internet Explorer does not work or is not available to you, right click on the error message and select “Save As”.  Save to your computer. Go to the saved file and open from there.  It should actually open the document you saved.   If not, select “open with Adobe Reader.”
  4. If you still have problems, let us know.

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