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Only use this form if you are applying for a Trainee Permit in Ophthalmic Dispensing and/or Contact Lens Dispensing

Complete this form and submit it with a $30 fee for the ophthalmic dispensing trainee permit and/or a $30 fee for the contact lens trainee permit directly to the Office of the Professions at the address at the end of the form. Please note that this form includes separate attestation sections for supervisors of ophthalmic dispensing trainees and contact lens dispensing trainees. A social security number is not required for a permit. If you do not have one, leave the item blank.

Documentation Of Enrollment In A Training Program

If you are seeking a trainee permit in ophthalmic dispensing, you must have the National Academy of Opticianry send us a letter indicating your purchase and enrollment in the Career Progression Program.

If you are seeking a trainee permit in contact lens dispensing, you must have the Contact Lens Society of America send a letter indicating your purchase and enrollment in the Contact Lens Study Manual program.

Documentation Of High School And Mathematics Completion

If you are applying for an ophthalmic dispensing trainee permit, you must ask your high school to send a copy of your high school transcript documenting completion of one year of mathematics such as algebra or geometry directly to:

The New York State Education Department
Office of the Professions
Division of Professional Licensing Services
Ophthalmic Dispensing Unit
89 Washington Avenue
Albany, NY 12234-1000.

Completion of general or business math will not meet this requirement.

NOTE: The Office of the Professions will not accept a high school transcript if it is submitted by the applicant.