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License Conversion Form

All sections of the form are mandatory and must be completed. Incomplete forms will not be accepted and will be denied. If you wish to convert a retired license, please contact the board office at (775) 746-4101 for payment instructions.

OT Convert Inactive Status to Active Status Fee:
  • $100.00
OTA Convert Inactive Status to Active Status Fee:
  • $50.00
OT Convert Temporary License Fee:
  • $100.00
OTA Convert Temporary License Fee:
  • $75.00
OT Convert Provisional License Fee:
  • $100.00
OTA Convert Provisional License Fee:
  • $75.00

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Page Updated: 10/13/2022 11:38:21 AM