Occupational Therapy
License Application Forms:
Occupational Therapist &
Occupational Therapy Assistant
Instructions for completing and submitting the forms required for licensure appear below. You may also need to submit additional information (for example, examination scores). Please refer to the license requirements link on the left for complete information regarding all requirements you must meet.
Form 1 - Application for Licensure & First Registration (ot1.pdf; 41K; 4 pages)
All applicants for licensure and certification must complete and submit this form with the licensure and registration fee directly to the Office of the Professions at the mailing address at the end of Form 1. Make checks payable to the New York State Education Department. Your cancelled check is your receipt. You must answer all questions and provide all information requested unless otherwise indicated. Failure to complete all required parts of the application will delay its review. Your signature on Form 1 must be notarized by a notary public. Upon receipt of your completed application, we will send you an acknowledgement letter.
Address/Name Change Form - Optional (anchange.pdf; 16K; 2 pages)
Use this form if you have had a legal name change or to update your address information in our records.
Form 2 - Certification of Professional Education - (ot2.pdf; 22K; 2 pages)
This form must be submitted directly from the professional school.
Occupational Therapist:
For approved New York State Registered or AOTA Accredited Programs: Complete Section I. Be sure to sign and date item 8 and forward the form to your school. Your school must complete Section II and send the form directly to the Office of the Professions at the address at the end of the form.
Non-AOTA Accredited Programs Outside The U.S.: If your education was obtained in another country, do not use Form 2. You must have your educational credentials verified by an independent credentials verification organization before the New York State Education Department can determine if they meet New York State's requirements for licensure. Refer to the "Education Requirements" section. Contact CGFNS for the form and procedures for the independent verification of your educational credentials.
Non-AOTA Accredited Programs In The U.S.: Contact the Bureau of Comparative Education at: comped@mail.nysed.gov or (518) 474-3817 ext. 300.
Occupational Therapy Assistant:
For approved New York State Registered or AOTA-Accredited Programs: Complete Section I. Be sure to sign and date item 8 and forward the form to your school to complete Section II.
Form 5 - Application for Limited Permit - (ot5.pdf; 25K; 2 pages)
If you are applying for a limited permit to practice occupational therapy, complete Section I of Form 5, have your employer and supervisor complete Section II and submit it with the $70 fee to the address indicated. Application for licensure, including the licensure fee of $270, and verification of education must be received prior to, or along with, the application for a limited permit.
Individuals applying for a limited permit who have completed all degree requirements but have not received their degree from a New York State registered/licensure-qualifying or AOTA-accredited program, may request their school to complete a Certification of Professional Education (Form 2) with the "met all requirements" date filled in. If this process is followed, you must re-submit another Certification of Professional Education (Form 2) to the school after the degree has been awarded for verification of receipt of the degree, which is required for licensure.
If you change employment or supervisor after a permit is issued, you must obtain a new permit and, with each prospective employer/supervisor, complete a new Form 5 and return it to the Office of the Professions. A new fee is not required for a permit issued as a result of a change in employment.
