APPLICATIONS
|
F1-ARA APPRENTICE
REGISTRATION APPLICATION
|
see F1 PLAN
OF SUPERVISION (now part of F1 application)
|
F3-RAE REPORT
OF APPRENTICESHIP EXPERIENCE
|
F4-ALER APPLICATON
FOR LICENSE / EXAM REGISTRATION
|
F8-RSA REGISTERED
SPONSOR APPLICATION
|
use F1 RENEW
or REPLACE APPRENTICE CERTIFICATE APPLICATION
|
F21-ALR 2021
ANNUAL LICENSE RENEWAL APPLICATION (2021 renewal form available Feb 1, 2021)
|
F10 APPLICATION
FOR LICENSE / EXAM REGISTRATION (for military applicants only)
|
LME
HEARING AID SPECIALIST LICENSURE BY MILITARY ENDORSEMENT
|
AFFIDAVITS
|
F1-ARA APPRENTICE
REGISTRATION AFFIDAVIT
|
F3-RAE REPORT
OF APPRENTICESHIP EXPERIENCE AFFIDAVIT
|
F4-ALER APPLICATON
FOR LICENSE / EXAM REGISTRATION AFFIDAVIT
|
F5-OWAR OTOLARYNGOLOGIST
AFFIDAVIT (Waiver of Apprenticeship)
|
F6-LWAR LICENSED
OUT OF STATE AFFIDAVIT (Waiver of Apprenticeship)
|
F7-VOL VERIFICATION
OF LICENSE form
|
F8-RSA REGISTERED
SPONSOR AFFIDAVIT
|
use F1 RENEW
or REPLACE APPRENTICE CERTIFICATE AFFIDAVIT
|
FORMS
|
BGC BACKGROUND CHECK (USE PACKAGE CODE "NC16")
|
CAP COMPLAINT AGAINST PROVIDER (to Committee on Investigations)
|
CE CONTINUING
EDUCATION (forms, reports, applications)
|
LOG LOG
OF SUPERVISION
|
RAC REGISTER
as AUTHORIZED CALIBRATER
|
RER REQUEST
EXAM REVIEW (submit within 20 days of Notice of Results)
|
RLQ RELINQUISH
LICENSE (Au.D. exempt from licensure)
|
F11 ADDRESS
CHANGE
|
F7-VOL VERIFICATION
OF LICENSE form
|
|