Application for Licensure, Instructions & Supporting Documentation

Important Note: Be sure to include an email address on the application as this is the preferred method of communication from the board. Additionally, your license issuance notification will only be sent by email.

Required Documentation for Examination Applicants

• Completed application which may be submitted online with $100.00 application fee. The paper application is still available if necessary.
• An official (certified) transcript of grades from the school from which the occupational therapist or occupational therapy assistant obtained his or her degree that shows the degree conferred. Graduates of a foreign occupational therapy program must submit an official translation if the transcript is not in English. This must be mailed directly from the school.
• Certified copy of Diploma or an original letter from the school indicating the applicant has completed the degree and has graduated (graduation date must be listed) and this letter must be signed by the program director/dean of program. The letter must have an original signature or the school seal if it’s a stamped signature.
• A copy of a marriage certificate or an official affidavit indicating any legal name change, if your name differs from that on any documents.
• Score report submitted directly to the Committee from the NBCOT. [All examination candidates must request the NBCOT certification examination application directly from the NBCOT. You may contact the NBCOT at (301) 990-7979 or visit their website at www.nbcot.org for more information.]
• Criminal Background Check
• Temporary Permits require the Affirmation of Supervision to be completed and uploaded in addition to the above requirements with the $50.00 temporary permit application fee.
  • A person with a temporary permit may only practice occupational therapy or occupational therapy assisting under the direct supervision of an Indiana certified occupational therapist that is responsible for the patient.

Required Documentation for Endorsement Applicants

• Completed application which may be submitted online with $100.00 application fee. The paper application is still available if necessary.
• An official (certified) transcript of grades from the school from which the occupational therapist or occupational therapy assistant obtained his or her degree that shows the degree conferred. Graduates of a foreign occupational therapy program must submit an official translation if the transcript is not in English. This must be mailed directly from the school.
• Certified copy of Diploma or an original letter from the school indicating the applicant has completed the degree and has graduated (graduation date must be listed) and this letter must be signed by the program director/dean of program. The letter must have an original signature or the school seal if it’s a stamped signature.
• A copy of a marriage certificate or an official affidavit indicating any legal name change, if your name differs from that on any documents.
• Score report submitted directly to the Committee from the NBCOT. [All examination candidates must request the NBCOT certification examination application directly from the NBCOT. You may contact the NBCOT at (301) 990-7979 or visit their website at www.nbcot.org for more information.]
• Temporary Permits require the Affirmation of Supervision to be completed and uploaded in addition to the above requirements with the $50.00 temporary permit application fee.
  • A person with a temporary permit may only practice occupational therapy or occupational therapy assisting under the direct supervision of an Indiana certified occupational therapist that is responsible for the patient.

​​Application for Sponsorship as a Continuing Education Provider for OT's and OTA's