State Board of Physical Therapy Examiners - New Jersey Division of 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information, including your name, address, and contact details. Ensure that all fields are completed clearly.
3. Attach a passport-style photograph to the front page of the application. Remember to sign and date the back of the photo.
4. Enter your Social Security number accurately. If you do not have one, ensure you obtain it before submitting your application.
5. Complete all sections regarding educational background and attach official transcripts in sealed envelopes as required.
6. If applicable, provide legal documentation for any name changes and ensure that verification forms from other states are sent directly to the Board.
7. Review all answers for accuracy and completeness before signing the affidavit section at the end of the form.

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