Applications/Forms
- Licensee List Request - $10
- Change of Address Form Online
- Change of Name Instructions/Form - Legal document required
- License Verification Request Online
- Report of Supervised Persons (Biennial Fee $300 per Supervisee)
Applications for Licensure
Paper Applications
Below are paper applications that may be filled out and mailed in to the Board.
- Preliminary Application for Licensure
(Please also Submit a Copy of Social Security Card and Drivers License.) - Temporary Permit Application
(Please also Submit a Copy of Social Security Card and Drivers License.)