License Application Forms

Important Notice: DO NOT use Form 1 if you are already licensed in this profession in New York State. A New York State professional license is valid for life unless it is revoked, annulled, or suspended by the Board of Regents. To practice in New York State, your professional license must be registered. To renew your registration online, visit www.op.nysed.gov/renewalinfo.htm. If your registration has lapsed, contact us to request a Delayed Registration Application, or call 518-474-3817 Ext. 570.

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Form 1 - Application for Licensure & First Registration ( PDF 23 KB)
ll applicants for licensure must complete this form and submit it with the $103 licensure and first registration fee directly to the Office of the Professions at the address at the end of Form 1. Make checks payable to the New York State Education Department. NOTE: 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.

Address/Name Change Form - Optional ( PDF 20 KB)
You are required to notify us within 30 days of any name or address changes. Please read the instructions and complete the appropriate sections of this form.

Form 2 - Certification of Professional Education - (PDF 19 KB)
This form must be submitted directly by the educational institution(s) you attended. The Office of the Professions will not accept this form if submitted by the applicant.
  • Section I: Complete this section before sending the entire form to your school. Be sure to sign and date item 9.
  • Section II: The Registrar must complete this section and return all pages of the form in an official school envelope with requested documents directly to the Office of the Professions at the address at the end of the form.

Note: If you graduated from a high school in the United States, your professional school will attest to your high school/secondary education on this form. No further documentation is normally required.

However, if you completed your high school/secondary school outside the United States, you must submit a copy of your high school diploma in the original language attached to your Form 1.

Electronic Transcript Service

The Office of the Professions (OP) will accept official electronic transcripts from educational institutions (i.e. colleges/universities) or designated third-party* transcript entities located in the United States provided that:
  • The transcript is the certified true and official academic record.
  • OP can independently verify that the transcript is received directly from the educational institution’s registrar or officially designated third-party.
  • If a third-party transcript provider is involved, it is clear that the educational institution has designated the third party as the official sole provider of its transcripts.
  • The applicant had no opportunity to directly access or alter the transcript before it is sent or transmitted.
  • Any educational institution transcript submissions should be made electronically to DPLSEduc@nysed.gov.

*OP will only accept third-party submissions after we have determined that the arrangement between the educational institution and the third party is consistent with our security and verification standards.

Form 5 - Application for Limited Permit - (PDF 18 KB)
  • Section I: If you are applying for a limited permit, complete this section before having your prospective supervisor complete Section II. Be sure to sign and date item 9.
  • Section II: Your prospective supervisor completes this section.

Return the completed form with the $40 fee to the Office of the Professions at the address at the end of the form. If you have not already, you must also submit the Application for Licensure (Form 1), the $103 fee for licensure and first registration, and have your academic institution submit the Certification of Professional Education (Form 2) before your application for a limited permit can be approved.

Last Updated: August 13, 2019