All applicants for a limited permit who ARE NOT seeking licensure in New York State must initially submit Form 5B along with the $105 limited permit fee. You must also submit a Form 5CS - Certification of Supervision for Limited Permit along with your application.
Continuing Your Application
If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Changes to Employment or Practice Status
If there is a change of employment or practice status, you must obtain an amended permit using the Limited Permit Change Form and submit a Form 5CS. After changes are processed you will receive an amended permit. An additional fee is not required (see Upload Additional Documentation above). Note: A permit authorizing practice in one facility MAY NOT be used in another facility without prior approval by the Department.