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:
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. https://get.adobe.com/reader/
When opening the .pdf form from a web-browser such as Firefox, Microsoft Edge, or Chrome:
- Download the form – right click on the link and select save link as and save it to your computer.
- Open the file – right click on the file and choose open with Adobe Reader.
For questions about the licensure/certification process email OLBAB@okdhs.org or call 405-850-7653.