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Kentucky Board of Licensure for Occupational Therapy

Board of Licensure for Occupational Therapy
Applications and Forms

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Note: The documents on this page are in Adobe Acrobat (PDF) format. Please click on the following link to download a free copy of Adobe Acrobat Reader.


 

 Forms Library

 
  
  
  
  
Annual OT OTA Renewal Application.pdf
  
108 KB 5/7/2015 11:34 AM
Application for Continuing Education Program Approval for Course Providers.pdf
  
27 KB 5/3/2011 11:41 AM
Application for License Verification.pdf
  
45 KB 3/28/2013 10:29 AM
DPAM Course, Workshop or Seminar Provider Approval Application Form.pdf
  
163 KB 5/7/2015 11:34 AM
DPAM Specialty Certification Application.pdf
  
254 KB 5/7/2015 11:34 AM
DPAM Specialty Certification Supervisor Application.pdf
  
441 KB 5/7/2015 11:34 AM
Form to File a Complaint.pdf
  
12 KB 5/3/2011 11:40 AM
Mailing List Request.pdf
  
103 KB 1/2/2013 1:52 PM
Name-Address Change Form.pdf
  
50 KB 12/5/2014 3:48 PM
Open Records Request.pdf
  
35 KB 6/4/2012 10:05 AM
OT Complaint Form.pdf
  
188 KB 6/28/2013 3:22 PM
OTA-L Application Form.pdf
  
326 KB 5/7/2015 11:33 AM
OT-L Application Form.pdf
  
147 KB 5/7/2015 11:33 AM
Reinstatement Application for Licensure as an Occupational Therapist.pdf
  
101 KB 5/7/2015 11:28 AM
Reinstatement Application for Licensure as an Occupational Therapy Assistant.pdf
  
101 KB 5/7/2015 11:28 AM
Supervision Audit Checklist Form.pdf
  
98 KB 2/8/2012 9:14 AM
Supervision Temporary Permit Form.pdf
  
126 KB 5/7/2015 11:30 AM