Forms & Applications

General Form Completion Information
Certemy – Log In Information
Apprentice Applications
Apprentice Registration Application – INITIAL (F1)
Apprentice Registration Application – INITITAL – Change of Sponsor ONLY (F1)
Apprentice Registration Application – RENEWAL (F1)
Report of Apprenticeship Experience /Termination of Apprentice (F3)

Please note: A background check must be submitted for all initial apprentice applications. A new background check must be resubmitted for any renewals or change of sponsor applications if the most recent background check completed is more that 6 months old.

Background Check (Use Package Code “NC16”)
Exam Registration

*Please be sure to complete the registration for the specific exam you wish to sit for. *

December 17, 2024 – Deadline to register for the February 2025 Exam
A “duly made application” shall be RECEIVED in the Board office by the end of the day.

Exam Registration/License Application – MAY 2025

March 18, 2025 – Deadline to register for the May 2025 Exam
A “duly made application” shall be RECEIVED in the Board office by the end of the day.

Registered Sponsor Application
Registered Sponsor Application (F8)
License Renewal
Annual License Renewal Application
Military Trained Applicant/Spouse Information
Application for License/Exam Registration (Military Applicants Only)
Affidavits
Apprentice Registration Affidavit (F1)
Report of Apprenticeship Experience/Terminate Apprentice Affidavit (F3)
Exam Registration/Application for License Affidavit (F4)
Otolaryngologist Affidavit (Waiver of Apprenticeship)
Registered Sponsor Affidavit (F8)
Verification of License Form
General Forms
Background Check (Use Package Code “NC16”)
Register to be an Authorized Calibrator
Request Exam Review (Submit within 20 days of Notice of Results)
Relinquish License (AuD Exempt for Licensure)
Address Change (Licensees Only)