License Renewal Form

All sections of the application are mandatory and must be completed. Incomplete applications will not be accepted and will be denied.


OT License Renewal Fee: Active Status: $300.00 Inactive Status: $150.00 Inactive-Retired Status: $50.00	OTA License Renewal Fee: Active Status: $225.00 Inactive Status: $125.00 Inactive-Retired Status: $50.00
OT Late Renewal: (up to 30 days after expiration) Active Status: $425.00 Inactive Status: $275.00 Inactive-Retired Status: $175.00	OTA Late Renewal: (up to 30 days after expiration) Active Status: $350.00 Inactive Status: $250.00 Inactive-Retired Status: $175.00

While you are in the renewal process please do not use the back button in your browser. If at any time you wish to exit the renewal process, please either click the "Save for Later" or "Exit" button located at the bottom of the page.

This program may not be compatible with Apple devices including MAC, iphones and ipads. Please use desktop when completing online renewals or printing certificates.

Please enter your login information below. If you have not set up your password yet, you will need to prior to logging into the form.
To set up your password please visit the Account Registration.

Your Username is the first letter of your first name and your full last name, all lower case and no spaces.


Username	License Number	Password
		Forgot Password?