Acupuncture
- Online Form 1 - Application for Licensure
- Form 2A - Certification of Preprofessional College/University Education
- Form 2B - Certification of Professional Acupuncture Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Online Form 5 - Application for a Limited Permit
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: License Application Forms for Acupuncture
Applied Behavior Analysis
Licensed Behavior Analysts
- Online Form 1 - Application for Licensed Behavior Analyst
- Online Form 1A - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 3C - Verification of Certification by the Behavior Analyst Certification Board
- Form 4 - Report of Professional Experience
- Online Form 5 - Application for Limited Permit for Licensed Behavior Analyst
For additional information and instructions: License Application Forms for Licensed Behavior Analysts
Licensed Behavior Analysts
- Online Form 1 - Application for Certified Behavior Analyst Assistant
- Online Form 1A - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 3C - Verification of Certification by the Behavior Analyst Certification Board
- Form 4 - Report of Professional Experience
- Form 5 - Application for Limited Permit
For additional information and instructions: License Application Forms for Certified Behavior Analyst Assistants
Architecture
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Out-of-State Licensure, Registration and/or Examination
- Form 4 - Applicant Experience Record
- Form 4E - Attestation of Professional Practice for Endorsement Applicants Post-Licensure Experience Only
- Form 4L - Attestation of Lawful Practice Outside New York State as an Architect
- Form 4P - Attestation of 10 Years of Lawful Practice Outside New York State as Principal/Shareholder/Owner of Firm
- Form 5 - Application for Limited Permit for Non-Resident Architect
For additional information and instructions: License Application Forms for Architecture
Athletic Training
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 2B - Certification of Equivalent Practicum Experience
- Form 3 - Verification of Other Professional Licensure/Certification
For additional information and instructions: License Application Forms for Athletic Training
Audiology
- Online Form 1 - Application for Licensure for Audiologists
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 4A - Identification of Supervisor and Setting
- Form 4B - Record of Supervised Experience
- Form 4E - Affidavit of Professional Practice for Endorsement Applicants
For additional information and instructions: Application Forms for Audiology
Certified Shorthand Reporting
- Form 1 - Application for Licensure and fee ($173)
- Form 2 - Certification of Education and Official Transcripts - High school (all applicants) and professional education (if applicable)
- Form 3 - Certification of Examination Grades
- Form 4 - Certification of Experience - Employer certifications from each employer from whom experience is claimed
For additional information and instructions: License Application Forms for Certified Shorthand Reporting and License Requirements for Certified Shorthand Reporting
Clinical Laboratory Technology
Clinical Laboratory Technologist
- Online Form 1 - Application for Licensure
- Online Form 1A - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 4 - Certification of Experience
- Form 4PP - Certification of Training/Experience
- Form 5 - Application for Limited Permit
- Form 5PP - Application for Provisional Permit
Restricted License Forms
- Form 1 - Application for a Restricted License
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 4 - Attestation of Training Program Content in: Cytogenetics
- Form 4 - Attestation of Training Program Content in: Flow Cytometry/Cellular Immunology
- Form 4 - Attestation of Training Program Content in: Histocompatibility
- Form 4 - Attestation of Training Program Content in: Molecular Diagnosis Not Restricted to Molecular Diagnosis Included in Genetic Testing-Molecular and Molecular Oncology for Employment
- Form 4 - Attestation of Training Program Content in: Molecular Diagnosis Restricted to Molecular Diagnosis Included In Genetic Testing-Molecular and Molecular Oncology
- Form 4 - Attestation of Training Program Content in: Stem Cell Process
- Form 4 - Attestation of Training Program Content in: Toxicology
- Form 4A - Certification of Completion of Training Program in: Cytogenetics
- Form 4A - Certification of Completion of Training Program in: Flow Cytometry/Cellular Immunology
- Form 4A - Certification of Completion of Training Program in: Histocompatibility
- Form 4A - Certification of Completion of Training Program in: Molecular Diagnosis Not Restricted to Molecular Diagnosis Included in Genetic Testing-Molecular and Molecular Oncology for Employment
- Form 4A - Certification of Completion of Training Program in: Molecular Diagnosis Restricted to Molecular Diagnosis Included In Genetic Testing-Molecular and Molecular Oncology
- Form 4A - Certification of Completion of Training Program in: Stem Cell Process
- Form 4A - Certification of Completion of Training Program in: Toxicology
For additional information and instructions: License Application Forms for Clinical Laboratory Technologist and Restricted License Application Forms for Clinical Laboratory Technologists
Cytotechnologist
- Online Form 1 - Application for Licensure
- Online Form 1A - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 5 - Application for Limited Permit
For additional information and instructions: License Application Forms for Cytotechnologist
Clinical Laboratory Technician
- Online Form 1 - Application for Certification
- Online Form 1A - Application for Certification
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 5 - Application for Limited Permit
For additional information and instructions: License Application Forms for Clinical Laboratory Technicians
Histotechnicians
- Online Form 1 - Application for Certification
- Online Form 1A - Application for Certification
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 5 - Application for Limited Permit
- Form 5PP - Application for Provisional Permit
For additional information and instructions: Application Forms for Histotechnicians
Dentistry
Dentists
License Application Forms for Dentist
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 4 - Personal Affidavit of Professional Practice for Endorsement Applicants
- Form 4A - Supporting Affidavit of Professional Practice for Endorsement Applicants
- Form 4B - Certification of Completion of Residency Program
- Form 5 - Application for Limited Permit
- Child Abuse Certification of Exemption Form
- Application to Request an Exemption from the Cardiopulmonary Resuscitation (CPR) Requirement
- Form 5R- Residency Director's Roster
- Dental Education Record Form
- Child Support Obligation Disclosure
- Online Form 1 - Application for Licensure - General Anesthesia
- Online Form 1 - Application for Licensure - Dental Parenteral Conscious Sedation
- Online Form 1 - Application for Licensure - Dental Enteral Conscious Sedation Application
- Form 2A - Verification of Approved Post-Doctoral/Graduate Level Education in Anesthesia or Education in Approved Specialty Program or Residency
- Form 2B - Verification of Post-Doctoral Education in Use of Parenteral Conscious Sedation
- Form 2C - Verification of Pre-Doctoral or Post-Doctoral Education in Use of Enteral Conscious Sedation
- Form 4 - Morbidity and Mortality Report Form
Restricted Dental Faculty License
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 4 - Affidavit of Professional Practice
- Form 4A - Certification of Completion of Advanced Education
- Form 4B - Verification of Full-Time Employment
- Child Abuse Certification of Exemption Form
For additional information and instructions:
- License Application Forms for Restricted Dental Faculty License
- License Application Forms for Dentist
Dental Hygienist
Application Forms
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Certification of Licensure
- Form 4A - Personal Affidavit of Professional Practice for Endorsement Applicants
- Form 4B - Verification of Professional Practice
- Online Form 5 - Application for Limited Permit for Dental Hygienist
- Form 5CS - Certification of Supervisor for Limited Permit
- Form 1CE - Child Abuse Certification of Exemption Form
- Dental Hygiene Restricted Anesthesia Forms: Online Form 1 - Application for Dental Hygiene Local Infiltration Anesthesia/Nitrous Oxide Analgesia Certification
- Dental Hygiene Restricted Anesthesia Forms: Form 2 - Verification of Education
For additional information and instructions: Application Forms for Dental Hygienist and Dental Hygiene Restricted Anesthesia Forms
Registered Dental Assistants
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 5 - Application for Limited Permit
- Change Address or Name
For additional information and instructions: License Application Forms for a Registered Dental Assistants
Dietetics and Nutrition
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3E - Certification of Dietetics - Nutrition Examination Results
- Form 4 - Applicant Professional Experience Record (Associate degree applicants only)
- Form 4B - Report of Experience Record (Associate degree applicants only)
- Form 4C - Report of Planned Work Experience
- Form 4E - Endorsement by an Acceptable Dietitian-Nutritionist (Associate degree applicants only)
For additional information and instructions: License Application Forms for Dietetics and Nutrition
Engineering
- Applicant Checklist
- Online Form 1 - Application for Licensure
- Form 1IE - Application for Intern Engineer Certificate
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Out-of-State Licensure, Registration and/or Examination
- Form 4 - Report of Professional Experience
- Form 4A - Verification of Professional Experience
- Form 5 - Notification of Intent to Practice Professional Engineering Under Section 7208(b) of Education Law
- Form 20F - Certification of of a Professionally Registered Program in Engineering
For additional information and instructions: Application Forms for Professional Engineering
Geology
- Online Form 1 - Application for Licensure and First Registration
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Out-of-State Licensure, Registration and/or Examination
- Form 4 - Report of Professional Experience
- Form 4A - Verification of Professional Experience
- Form 20T - Certification of Anticipated Completion of a Professionally Registered Program in Geological sciences
- Form 20F - Certification of Completion of a Professionally Registered Program in Geological Sciences
For additional information and instructions: Application Forms for Geology
Interior Design
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 4 - Report of Professional Experience
- Form 4A - Verification of Experience
For additional information and instructions: License Application Forms for Interior Design
Land Surverying
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Out-of-State Licensure, Registration and/or Examination
- Form 4 - Report of Professional Experience
- Form 4A - Verification of Professional Experience
- Form 5 - Notification of Intent to Practice Land Surveying under Section 7208(b) of Education Law
For additional information and instructions: Application Forms for Land Surveying and License Application Forms for Land Surveying
Landscape Architecture
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Licensure/Certification
- Form 4 - Report of Professional Experience
- Form 4A - Verification of Professional Experience
- Form 5 - Application for Limited Permit for Non-Resident Landscape Architect
For additional information and instructions: Application Forms for Landscape Architecture
Massage Therapy
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Out-of-State Licensure or Registration
- Form 4 - Report of Professional Experience
- Form 4B - Verification of Experience
- Online Form 5 - Application for Limited Permit for Massage Therapist
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Massage Therapy
Medical Physics
- Online Form 1 - Application for Medical Physicist - Diagnostic Radiological Physics
- Online Form 1 - Application for Medical Physicist - Therapeutic Radiological Physics (or Radiation Oncology Physics)
- Online Form 1 - Application for Medical Physicist - Medical Nuclear Physics
- Online Form 1 - Application for Medical Physicist - Medical Health Physics
- Form 2 - Certification of Professional Education
- Form 4 - Personal Affidavit of Professional Practice
- Form 4A - Verification of Professional Experience
- Online Form 5 - Application for Limited Permit for Medical Physicist - Diagnostic Radiologic Physics
- Online Form 5 - Application for Limited Permit for Medical Physicist - Therapeutic Radiological Physics (or Radiation Oncology Physics)
- Online Form 5 - Application for Limited Permit for Medical Physicist - Nuclear Physics
- Online Form 5 - Application for Limited Permit for Medical Physicist - Medical Health Physics
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Medical Physics
Midwifery
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 2A - Certification Of Pharmacology Course Or The Equivalent Of Not Less Than Three Semester Hours
- Form 2B - Certification Of Instruction In New York State And Federal Laws Relating To Prescriptions And Record Keeping
- Form 5 - Application for Limited Permit
For additional information and instructions: License Application Forms for Midwifery
Medicine
Physician
- Applicant Checklist
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional and Preprofessional Education
- Form 2CC - Certification of Approved Clinical Clerkship
- Form 2PGT - Certification of Approved Postgraduate Training*
- Form 3A - Verification of Medical Licensure in Another Country
- Form 3B - Verification of Pre-1972 Medical Licensure in Another U.S. State or Territory
- Form 4 - Verification of Professional Practice of Medicine in Another Jurisdiction
- Form 5A - Application for Limited Permit
- Form 5B - Application for Limited Permit
- Affidavit of Non-Compensation
For additional information and instructions: License Application Forms for Physicians
Physician Assistant
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Licensure/Certification in Another Jurisdiction
- Form 5 - Application for Limited Permit
For additional information and instructions: License Application Forms for Physicians Assistants
Specialist Assistants
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 4 - Certification of Experience
For additional information and instructions: License Application Forms for Specialist Assistants
Mental Health Practitioners
Creative Arts Therapists
- Applicant Checklist
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 2INT - Certification of Supervised Internship and Practicum
- Form 3 - Verification of Other Professional Licensure/Certification
- Appendix A - Requirements for Supervised Experience
- Form 4 - Applicant Experience Record
- Form 4B - Certification of Supervised Experience
- Form 4E - Endorsement Applicant Experience Record
- Form 4F - Certification of Licensed Experience
- Online Form 5 - Application for Limited Permit for Creative Arts Therapist
- Child Abuse Certification of Exemption Form
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Creative Arts Therapists
Marriage and Family Therapy
- Applicant Checklist
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 2INT - Certification of Supervised Internship and Practicum
- Form 3 - Verification of Other Professional Licensure/Certification
- Appendix A - Requirements for Supervised Experience
- Form 4 - Applicant Experience Record
- Form 4B - Certification of Supervised Experience
- Form 4E - Endorsement Applicant Experience Record
- Form 4F - Certification of Licensed Experience
- Online Form 5 - Application for Limited Permit for Marriage and Family Therapist
- Child Abuse Certification of Exemption Form
For additional information and instructions: Application Forms for Marriage and Family Therapy
Mental Health Counselors
- Applicant Checklist
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 2INT - Certification of Supervised Internship and Practicum
- Form 3 - Verification of Other Professional Licensure/Certification
- Appendix A - Requirements for Supervised Experience
- Form 4 - Applicant Experience and Endorsement Record
- Form 4B - Certification of Supervised Experience
- Form 4E - Endorsement Applicant Experience Record
- Form 4F - Certification of Licensed Experience
- Online Form 5 - Application for Limited Permit
- Form 5CS - Certification of Supervisor for Limited Permit
- Child Abuse Certification of Exemption Form
For additional information and instructions: Application Forms for Mental Health Counselors
Psychoanalysts
- Applicant Checklist
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Psychoanalytic Study
- Form 2A - Certification of Graduate Study
- Form 3 - Verification of Other Professional Licensure/Certification
- Appendix A - Requirements for Supervised Experience
- Form 4 - Applicant Experience and Endorsement Record
- Form 4B - Certification of Supervised Experience
- Form 4E - Endorsement Applicant Experience Record
- Form 4F - Certification of Licensed Experience
- Online Form 5 - Application for Limited Permit
- Child Abuse Certification of Exemption Form
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Psychoanalysts
Nursing
Registered Professional Nurse
- Online Form 1 - Application for Licensure for Registered Professional Nurse
- Form 2F - Certification of Foreign Nursing Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 3F - Verification of Foreign Professional Licensure/Certification
- Online Form 5 - Application for Limited Permit for Registered Professional Nurse
- Form 2 - Certification of Professional Education
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Registered Professional Nurses
Licensed Practical Nurses
- Online Form 1 - Application for Licensure for Licensed Practical Nurse
- Form 2 - Certification of Professional Education
- Form 2AF - Certification Of Equivalent U.S. Armed Forces Education For LPN Licensure
- Form 2F - Certification of Foreign Nursing Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 3F - Verification of Foreign Professional Licensure/Certification
- Online Form 5 - Application for Limited Permit for Licensed Practical Nurse
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Licensed Practical Nurses
Clinical Nurse Specialist
- Online Form 1 - Application for a Clinical Nurse Specialist Certificate
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 3C - Verification of Clinical Nurse Specialist Certification
For additional information and instructions: License Application Forms for Clinical Nurse Specialist
Nurse Practitioner
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 2B - Verification of Instruction in New York State and Federal Laws Related to Prescriptions and Record Keeping
- Form 2C - Verification of Pharmacotherapeutics Course
- Form 3 - Verification of National Nurse Practitioner Examination
- Form 4NP - Verification of Collaborative Agreement and Practice Protocol
For additional information and instructions: License Application Forms: Nurse Practitioner
Occupational Therapy
Occupational Therapists
- Online Form 1 - Application for Licensure for Occupational Therapists
- Form 2 - Certification of Professional Education
- Form 2F - Certification of Foreign Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 5 - Application for Limited Permit for Occupational Therapists
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Occupational Therapists
Occupational Therapy Assistants
- Online Form 1 - Application for Licensure for Occupational Therapy Assistants
- Form 2 - Certification of Professional Education
- Form 2F - Certification of Foreign Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Online Form 5 - Application for Limited Permit Occupational Therapy Assistants
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Occupational Therapy Assistants
Ophthalmic Dispensing
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education in Ophthalmic Dispensing
- Form 3 - Certification of Ophthalmic Dispensing Licensure in Another Jurisdiction
- Form 4 - Certification of Trainee Experience in Ophthalmic Dispensing And/Or Contact Lens Dispensing
- Online Form 5 - Application for a Limited Permit for Ophthalmic Dispensing
- Form 5T - Application for Trainee Permit
- Online Form 5 - Application for a Limited Permit for Contact Lens Dispensing
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: License Application Forms for Ophthalmic Dispensing
Optometry
- Online Form 1 - Application for Licensure
- Online Form 1A - Application for Certification(s)
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Licensure/Certification in Another Jurisdiction
- Form 4 - Report of Professional Practice
- Form 4A - Supporting Affidavit of Professional Practice
- Child Abuse Certification of Exemption Form
For additional information and instructions: Application Forms for Optometry
Pharmacy
Pharmacist
- Online Form 1 - Application for Licensure
- Online Form 1A - Special Provisions Form
- Form 2 - Certification of Professional Education
- Form 4 - Certification of an Internship in Pharmacy
- Form 5 - Application for a Limited (Intern) Permit
- Pharmacist Immunization - Application for Certification
For additional information and instructions: License Application Forms for Pharmacists
Pharmacy Establishments
See Retail Price List and Information for NYS Registered Pharmacy Establishments
Registered Pharmacy Technicians
- Online Form 1 - Application for Licensure
- Form 3 - Verification of Other Professional Licensure/Certification
For additional information and instructions: License Application Forms for Registered Pharmacy Technicians
Physical Therapy
Physical Therapist
- Online Form 1 - Application for Physical Therapist
- Form 2 - Certification of Professional Education
- Form 3 - Certification of Physical Therapist or Physical Therapist Assistant Licensure in Another State
- Form 4 - Endorsement Applicant Professional Experience Record
- Form 4A - Certification of Professional Experience for Endorsement Applicants
- Online Form 5 - Application for Limited Permit for Physical Therapist
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: License Application Forms for Physical Therapist
Physical Therapist Assistants
- Online Form 1 - Application for Physical Therapist Assistant
- Form 2 - Certification of Professional Education
- Form 3 - Certification of Physical Therapist or Physical Therapist Assistant Licensure in Another State
- Form 4 - Endorsement Applicant Professional Experience Record
- Form 4A - Certification of Professional Experience for Endorsement Applicants
- Online Form 5 - Application for Limited Permit for Physical Therapist Assistant
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: License Application Forms for Physical Therapist Assistants
Podiatry
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Certification of Podiatry Licensure in Another Jurisdiction
- Form 4pgy - Certification of Approved Podiatric Postgraduate Training
- Form 5A: Application for a Limited Permit for Applicants Who Have Applied for Licensure in New York
- Form 5B: Application for a Limited Permit for Applicants Who Have Not Applied for Licensure in New York
- Form 5C: Application for a Limited Residency Permit for Applicants Who Are Applying for Licensure in New York
- Form 5D: Application for a Limited Residency Permit for Applicants Who Are Not Applying for Licensure in New York
- Child Abuse Certification of Exemption Form
- Form 1PODPR - Application for Podiatric Ankle Surgery Privilege
- Form 4PODPR - Attestation of Completion of an Accredited Residency Program in Podiatric Medicine and Surgery
- Form 4PODPRA - Applicant Training and Experience Record
- Form 4PODPRB - Certification of Training and Experience
- Form 5PODPR - Application for Ankle Surgery Limited Permit
For additional information and instructions: License Application Forms for Podiatry
Polysomnographic Technology
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Online Form 5 - Application for a Limited Permit
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Polysomnographic Technology
Public Accountancy
Certified Public Accountants
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Certification of Out-Of-State Licensure and Examination Grades
- Form 4B - Verification of Experience by Supervisor
- Registration Renewal Addendum
- MCE Initial Application for Continuing Education Sponsor Agreement
- MCE Renewal Forms for Continuing Education Sponsor Agreement
- Form 6R - Application for Public Accountancy Firm
- Form 6C - Certification of Ownership and Attest Competency
- Form 6PR - Peer Review, Competency and Annual Statements
- Form 6T - CPA Firm Triennial Registration
For additional information and instructions: Application Forms for Certified Public Accountants
Psychology
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Certification of Out of State Licensure and Examination Grades
- Form 4 - Report of Professional Experience
- Form 5A - Application for Limited Permit For Persons Gaining Experience For Licensure
- Form 5B - Application for Limited Permit For Persons Licensed In Other Jurisdictions
For additional information and instructions: Application Forms for Psychology
Respiratory Therapy
Respiratory Therapists
- Online Form 1 - Application for Licensure for Respiratory Therapists
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Online Form 5 - Application for Limited Permit for Respiratory Therapist
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Respiratory Therapists
Respiratory Therapy Technicians
- Online Form 1 - Application for Licensure for Respiratory Therapy Technicians
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 5 - Application for Limited Permit
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: Application Forms for Respiratory Therapy Technicians
Social Work
Licensed Clinical Social Worker
- Applicant Checklist
- Online Form 1 - Application for Licensure
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Appendix A - Requirements for Supervised Experience
- Form 4 - Applicant Experience Record
- Form 4B - Certification of Experience for Licensed Clinical Social Worker
- Form 4E - Endorsement Applicant Experience Record
- Form 4F - Certification of Licensed Experience
- Form 4Q - Approval of Qualifications to Supervise Psychotherapy
- Online Form 5 - Application for Limited Permit
- Form 5CS - Certification of Supervisor for Limited Permit
- Form 6 - Plan for Supervised Experience
- Child Abuse Certification of Exemption Form
For additional information and instructions: Application Forms for Licensed Clinical Social Worker
Licensed Master Social Worker
- Applicant Checklist
- Online Form 1 - Application for Licensure
- Change Address or Name
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 5 - Application for Limited Permit
- Form 5CS - Certification of Supervisor for Limited Permit
- Form 6 - Plan for Supervised Experience
- Child Abuse Certification of Exemption Form
- Form 20 - Certification of Graduation from a MSW Program Registered as licensure-qualifying
For additional information and instructions: Application Forms for Licensed Master Social Worker
Speech-Language Pathology
- Online Form 1 - Application for Licensure Speech-Language Pathologists
- Form 1LL - Application for Limited License as a Speech-Language Pathologist
- Form 2 - Certification of Professional Education
- Form 3 - Verification of Other Professional Licensure/Certification
- Form 4A - Identification of Supervisor and Setting
- Form 4B - Record of Supervised Experience
- Form 4E - Affidavit of Professional Practice for Endorsement Applicants
For additional information and instructions: Application Forms for Speech-Language Pathology
Veterinary Medicine
Veterinarian
- Online Form 1 - Application for Licensure
- Form 2 - Certification Of Professional Education
- Form 2PPE - Certification of Pre-Professional Education
- Form 2CT - Certification Of Clinical Training
- Form 3 - Verification Of Out-Of-State Licensure, Registration, And/Or Examination
- Form 4 - Verification Of Professional Practice
- Online Form 5 - Application For Limited Permit
- Form 5CS - Certification of Supervisor for Limited Permit
- Form COSN - Attestation of Veterinarian's Provision of Free Spaying and/or Neutering Services for Continuing Education Credit
For additional information and instructions: License Application Forms for Veterinarian
Veterinary Technician
- Online Form 1 - Application for Licensure
- Form 2 - Certification Of Professional Education
- Form 3 - Verification of Out-Of-State Licensure, Registration, And/Or Examination
- Form 4 - Verification of Professional Practice
- Online Form 5 - Application For Limited Permit
- Form 5CS - Certification of Supervisor for Limited Permit
For additional information and instructions: License Application Forms for Veterinary Technician
Non-Profession Specific Forms
- Change an Address
- Online Replacement Registration Certificate Form
- Online Replacement License Parchment Form
- Online Limited Permit Separation Form
- Name Change
- Application for Certificate to Temporarily Practice in New York State under the "Military Spouse Licensing Relief Act of 2021"
- Application for State Board Membership
- Attestation of Infection Control Training
- Certification of Foreign Education
- Child Support Obligation Form
- Citizenship and Immigration Status Form
- Delayed Registration Application
- Education Record Form
- Mandated Training Related to Child Abuse - Certificate of Exemption Form
- Mandatory Continuing Education Questionnaire for Delayed Registration
- Professional Assistance Program Application
- Professional Discipline Complaint Form
- Request for Reasonable Testing Accommodations
- Request for Certification or Verification of a New York State License
- PDF Files