License Application Forms

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.

Note: All forms are in Adobe Portable Document Format (PDF). To view or print these documents, you will need to have the free Adobe Reader External Link Icon installed on your computer. Download times and print quality will depend on your connection speed and printer.
Form 1 - Application for Licensure & First Registration ( PDF 45 KB)

Important Notice: 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. If your registration has lapsed and you need to reregister, do not submit a Form 1. Instead, contact the Registration and Fees Unit to request a Delayed Registration Application by e-mailing: OPREGFEE@mail.nysed.gov, or by calling 518-474-3817 Ext. 410.  When e-mailing, be sure to include your profession, license number, address on record, new address (if changed), date of birth and the last 4 digits of your SSN.

All applicants for licensure must complete this form and submit it with the $372 licensure and registration fee directly to the Office of the Professions at the mailing address at the bottom 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 30KB)
This form must be submitted directly by the professional school.

  • Section I: Complete this section of the form before sending it to your professional school. If you graduated from a veterinary school not accredited by the American Veterinary Medical Association (AVMA), notify the school that a transcript must accompany the form. A description of the structure and contents of the clinical portion of the veterinary program may also be needed.

    If you have attended more than one academic institution, copy the form and send one to each institution.

    If your education was completed outside the United States, attach to your licensure application (Form 1) a copy of your secondary school diploma or certificate, and your preprofessional and professional credentials (transcript and diploma). Each document not printed in English must be accompanied by an original acceptable translation that includes all written and printed matter on the original and has been translated by a qualified translator.

    NOTE: Translations that do not meet Education Department requirements may be referred back to the applicant.

  • Section II: The registrar, dean, rector, or principal of the veterinary school must complete the appropriate parts of this section and return the form directly to the Office of the Professions in an official school envelope at the address on the form.

Please make as many copies of Form 2 as needed.

Form 2PPE - Certification of Pre-Professional Education - ( PDF 20 KB)
This form must be submitted directly by the college you attended prior to your veterinary studies.

Complete the form and send it to the college(s) you attended before you began your veterinary studies. Ask the college to attach an official transcript to the form and mail both to the Office of the Professions at the address provided on the form. If you have attended more than one academic institution, provide a copy (photocopy or print from the web) of the form to each institution.

Form 2CT - Certification Of Clinical Training - ( PDF 22 KB)
This form must be submitted directly by the institution where you received your clinical training.

Use this form only if you received your professional degree from a program not accredited or approved by the New York State Education Department and your clinical experience for the degree was completed in a country other than where the school was located. You must have Form 2CT completed by the institution where your clinical training was completed. Form 2CT must be sent by the institution(s) directly to the address at the bottom of the form.

 

NOTE: An Educational Commission for Foreign Veterinary Graduates (ECFVG) Certificate may be submitted in lieu of Form 2CT.

 
 
Form 3 - Verification Of Out-Of-State Licensure, Registration, And/Or Examination - ( PDF 23 KB)
This form must be submitted directly by the state licensing authority.

Use this form ONLY if you are licensed in another state and have not attempted the CCT examination. Applicants who have passed the NBE and CCT or have passed NAVLE and whose education has been approved by New York State are not required to file Form 3 or 4.

  • Section I: Complete this section of the form before sending it to the state licensing authority. Be sure to include any fee required by the other state.
  • Section II: The appropriate official of the licensing authority must complete this section and return the form directly to the Office of the Professions at the address on the form.

Form 4 - Verification Of Professional Practice - ( PDF 20 KB)
This form must be submitted directly by the licensed veterinarian who completed the form.

Use this form ONLY if you are licensed in another state and have not attempted the CCT examination. Applicants who have passed the NBE and CCT or have passed NAVLE and whose education has been approved by New York State are not required to file Form 3 or 4.

  • Section I: Complete this section of the form before sending it to the licensed veterinarian verifying your practice. More than one form may be necessary to verify the total number of years July 29, 2014
  • Section II: A duly licensed veterinarian in good standing in the state where the applicant is licensed must complete this section and return the form directly to the Office of the Professions at the address on the form.

Form 5 - Application For Limited Permit - ( PDF 26 KB)
To apply for a limited permit, you must have an application for veterinary medicine licensure (Form 1) on file with the State Education Department and have requested all necessary verifications. The applicant may then complete Section I of Form 5 and have Section II completed and signed by the currently registered New York State licensed supervising veterinarian who will supervise your work. Return the form with a $105 limited permit fee to the Office of the Professions at the address on the form.
Last Updated: April 9, 2014