Request for the Completion of Board Licensure Form Letter 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your current information, including your First Name, Middle Initial, Maiden Name, Last Name, Gender, City, State, Zip Code, Phone Number, and NetID. Ensure all fields are accurately completed.
3. Select your Class Year and Campus type (Pharmacy, OT, PT, Distance) by checking the appropriate boxes.
4. Indicate whether you need a Licensure Form or a Licensure Letter by marking the corresponding box. Remember that a separate request is required for each state.
5. Provide the purpose of the form/letter and any applicable deadlines or due dates in the designated fields.
6. Choose how you would like the document returned: either to yourself or mailed to the appropriate board. If no option is selected, it will default to being returned to you.
7. Finally, sign the form electronically before submitting it through our platform for processing.

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