Forms

Renewal Application Form or Online Renewal Portal
Licensees can now submit their license renewal applications electronically using the Online Renewal Portal.  For those wishing to complete the renewal process by mail, please select the PDF Renewal Application Form above.

Change of Name and Address

Board rules require that applicants or licensees report any change in contact information within 30 days of the change.  Changes must include a signature and may be submitted by fax or e-mail using the form above.  The Board can NOT accept changes by phone.  

Inactive Request Form
A professional can request to place their license on inactive status for one renewal period.

Extension to Inactive Request Form
A professional can request an extension of the inactive status by showing good cause. 

Complaint
Public complaints on a Board licensee or applicant can be submitted using this form.

Public Records Request
Copies of public information (including license verifications) can be requested by submitting this completed form including fee. 

License Synchronization Request
Submitting this form initiates the synchronization of expiration dates for multiple license holders.  This can only be accomplished at the time of renewal of the multiple licenses.