DOPL Record Retention
The information you provide to the division is retained in accordance with state record retention laws. The table below outlines record retention.
This page is under development and will be continually updated over time. please check back.......
| License/Registration Type | Forms | Record Series Name | Record Series Number | |
|---|---|---|---|---|
| Licensed Practical Nurse | Applications: ATT and LPN/RN Application Renewal: LPN Renewal Form Volunteer Application Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive Request for License Verification Update your License Record-Legal Name Change/Change of Address Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program | Licensed Practical Nurse Files | 9976 | |
| Registered Nurse | Applications: ATT, RN/LPN Application, RN Nurse Apprentice Renewal: RN Renewal Volunteer Application Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive Request for License Verification Application for Criminal History Determination Update your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program | Registered Nurse Licensing Files | 9975 | |
| Nurse Practitioners | Applications: APRN or CRNA Applications: APRN Intern Renewal: APRN or CRNA Renewal Form Renewal: APRN/CRNA with Controlled Substance Volunteer Application Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive Request for License Verification Update your License Record-Legal Name Change/Address Change Verification of Supervised Post-Graduate Experience Licensed APRN: Addition of Psych Mental Health Specialty Tax Credit Attestation: New Utah Practice Tax Credit Attestation: Underserved APRN Surrender and Reinstatement of RN Transgender Treatment Certification Electronic Prescriptions for Controlled Substances Request for Limited Extension to Comply Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program | Advanced Practice Registered Nurse Licensing Files | 9977 | |
| Midwife License | Application: Certified Nurse Midwife Renewal: Certified Nurse Midwifery Electronic Prescriptions for Controlled Substances Request for Limited Extension to Comply Certified Nurse Midwife & Controlled Substance Request for License Verification Update you License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Certified Nurse Midwife Licensing Files | 9978 | |
| Anesthetic Nurse License | Applications: APRN or CRNA Applications: APRN Intern Renewal: APRN or CRNA Renewal Form Renewal: APRN/CRNA with Controlled Substance Volunteer Application Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive Request for License Verification Update your License Record-Legal Name Change/Address Change Verification of Supervised Post-Graduate Experience Licensed APRN: Addition of Psych Mental Health Specialty Tax Credit Attestation: New Utah Practice Tax Credit Attestation: Underserved APRN Surrender and Reinstatement of RN Transgender Treatment Certification Electronic Prescriptions for Controlled Substances Request for Limited Extension to Comply Internationally-Trained Applicant Credentialing Program | Certified Registered Nurse Anesthetist Licensing Files | 17374 | |
| Certified Medication Aide | Application: Medication Aide Renewal Medication Aide Request for Verification of Licensure Verification of Active Practice as a Certified Nurse Aide Application for Criminal History Determination Update your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Request for License Verification Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Medication Aide Certified Licensing Files | 26198 | |
| Recreational Therapy License | Application: Therapeutic Recreation Technician Application: Therapeutic Recreation Specialist Application: Master Therapeutic Recreation Specialist Application: Retired Volunteer Health Care Practitioner Renewal: Therapeutic RecreationTechnician Renewal: Therapeutic Recreation Specialist Renewal: Master Therapeutic Recreation Specialist Update your license record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Recreational Therapy Licensing Files | 9737 | |
| Respirtory Practitioner License | Application: Respiratory Care Practitioner Renewal: Respiratory Care Practitioner Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Respiratory Care Practitioner Licensing Files | 9791 | |
| Medical Language Interpreter License | Application: Certified Medical Language Interpreter Renewal: Medical Language Interpreter Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Medical Language Interpreter Licensing Files | 27215 | |
| Naturopathic Physician License | Application: Naturopathic Physician Application: Controlled Substance Temporary Naturopathic Physician License Naturopathic Limited CS Testosterone License Request to Remove Utah Controlled Substance License Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Naturopathic Physician Licensing Files | 17380 | |
| Optometrist License | Application: Optometrist Application Application: Controlled Substance Volunteer Health Care Practitioner Application Renewal Optometrist Renewal Controlled Substance Renewal Volunteer Health Care Practitioner Request for Verification of Licensure Request to Remove Utah CS license Update Your License Record-Legal Name Change/Adress Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Optometrist Licensing Files | 9786 | |
| Osteopathic Physicians License | Application Osteopathic Physician & Surgeon Application Osteopathic Physician & Surgeon with CS Renewal Osteopathic Physician & Surgeon Renewal Osteopathic Physician & Surgeon with CS Request for Verification of Licensure Electronic Prescriptions for Controlled Substances Request for Limited Extension to Comply Controlled Substance Application Form Designation of Contact Form Tax Credit Attestation: New Utah Practice Tax Credit Attestation: Underserved Tax Credit Attestation: Volunteer Retired Psychiatrist Application for Inactive Licensure Volunteer Health Care Practitioner Request to Remove Controlled Substance License Restricted Associate Osteopathic Physician Collaborative Practice Agreement Transgender Treatment Certification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Osteopathic Physician and Surgeon Licensing File | 9965 | |
| Physician and Surgeon License | Application: Physician and Surgeon Application: Physician and Surgeon and Controlled Substance License Application: Apply for a Restricted Associate Physician and Surgeon License Application: Physician Educator License Application: Temporary Physician and Surgeon License Application: Retired Volunteer Healthcare Practitioner License Application: Retired Volunteer Healthcare Practitioner License Application: Controlled Substance License Application: Anesthesiologist Assistant License(Utah) Application: Anesthesiologist Assistant License(Out of State) Application: Anesthesiologist Assistant License (Out-of-State Applicants Not Applying by Endorsement) Renewal: Physician and Surgeon Renewal: Physician and Surgeon and Controlled Substance License Request for Verification of Licensure Electronic Prescriptions for Controlled Substances Request for Limited Extension to Comply Controlled Substance Application Form Designation of Contact Form Tax Credit Attestation:New Utah Practice Tax Credit Attestation:Underserved Tax Credit Attestation:Volunteer Retired Psychiatrist Application: Inactive Licensure Application Volunteer Health Care Practitioner Volunteer Delegation of Services Agreement (DOSA) Request to Remove Controlled Substance License Restricted Associate Physician Collaborative Practice Agreement Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Transgender Treatment Certification Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Physician and Surgeon Licensing Files | 9966 | |
| Physician Assistant License | Application: Physician Assistant Application: Physician Assistant with Controlled Substance Application: Temporary Physician Assistant License Application: Retired Volunteer Healthcare Practitioner License Application: Physician Assistant Specialty: Health Care License Application for Criminal History Determination Request for Verification of Licensure Certificate of Completion Electronic Prescriptions for Controlled Substances Request for Limited Extension to Comply Notification of Change Delegation of Services Agreement Volunteer Health Care Practitioner Affidavit of Collaboration Request to Remove Utah Controlled Substance License Transgender Treatment Certification Renewal: Physician Assistant Renewal: Physician Assistant with Controlled Substance Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Physician Assistant Licensing Case File | 14407 | |
| Podiatrist License | Application: Podiatric Physician Application: Utah Controlled Substance Application: Retired Volunteer Healthcare Practitioner License Application for Criminal History Determination Renewal: Podiatric Physician Renewal: Podiatric Physician with CS Request for Verification of Licensure Electronic Prescriptions for Controlled Substances: Request for Limited Extension to Comply Controlled Substance Application Form Verification of Post Graduate Training Form Affidavit of Residency Form Inactive Licensure Application Volunteer Health Care Practitioner Request to Remove Controlled Substance License Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Podiatric Physician Licensing Files | 9790 | |
| Radiology Technician License | Application: Radiologic Technologist License Application: Radiologist Assistant License Application: Radiology Practical Technician License Renewal: Radiologic Technologist License Renewal: Radiologist Assistant License Application: Radiology Practical Technician License Request for Verification of Licensure Application for Inactive Licensure Update your license record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Radiology technology licensing files | 9954 | |
| Cosmetologist and Barber License | Application Cosmetology Professions License Verification of Formal Education Graduation Verification of Licensed Work Experience Verification of Completion of an Apprentice Program Application Cosmetolofy Profession Instructor Verification of Formal Cosmetology Trades Instructor Education Verification of On-the Job Cosmetology Trades Instructor Training Verification of Licensed Cosmetology Trades Experience Application Cosmetology Trades Apprentice Notice of Disassociation of Apprentice Apprentice Supervision Form Cosmetologist Trade School Application Renewal Cosmetologist/Barber Renewal Cosmetologist/Barber School Renewal Form Request for Fee Waiver Request for License Verification Update your License Record-Legal Name Change/Address Change Application for Criminal History Determination Verification of Active Practice in Another State Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Cosmetologist/Barber Licensing Files. | 9721 | |
| Aesthetician License | Application Cosmetology Professions License Verification of Formal Education Graduation Verification of Licensed Work Experience Verification of Completion of an Apprentice Program Application Cosmetolofy Profession Instructor Verification of Formal Cosmetology Trades Instructor Education Verification of On-the Job Cosmetology Trades Instructor Training Verification of Licensed Cosmetology Trades Experience Application Cosmetology Trades Apprentice Application Notice of Disassociation of Apprentice Apprentice Supervision Form Application: Cosmetology Trade School Application Renewal Esthetican Renewal Form Renewal Esthetician School Renewal Form Request for fee Waiver Request for License Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Verification of Active Practice in Another State Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Aesthetician Licensing Files | 17491 | |
| Dietician License | Application: Certified Dietician Renewal Form: Certified Dietician Request for License Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Verification of Active Practice in Another State Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Dietitian Licensing Files | 9967 | |
| Electrologist License | Application Cosmetology Professions License Verification of Formal Education Graduation Verification of Licensed Work Experience Verification of Completion of an Apprentice Program Application Cosmetolofy Profession Instructor Verification of Formal Cosmetology Trades Instructor Education Verification of On-the Job Cosmetology Trades Instructor Training Verification of Licensed Cosmetology Trades Experience Application Cosmetology Trades Apprentice Application Notice of Disassociation of Apprentice Apprentice Supervision Form Application Cosmetology Trade School Application Renewal Esthetican Renewal Form Renewal Esthetician School Renewal Form Request for License Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Verification of Active Practice in Another State Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Electrologist Licensing Files | 9719 | |
| Environmental Health Scientist License | Application Environmental Health Scientist/Environmental Health Scientist-In-Training Application Enviromental Health Scientist-In-Training Supervision Agreement Renewal Environmental Health Scientist Request for License Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Verification of Active Practice in Another State Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Environmental health scientist licensing files | 9792 | |
| Health Facility Administrator License | Health Facility Administrator: Request for Authorization to test Application: Health Facility Administrator Affidavit of Competion of Administrator in Training (AIT) Preceptorship Verification of Health Facility Administrator Experience Request for Inactive License Request for License Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Verification of Active Practice in Another State Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Health Facility Administrator Licensing Files | 9784 | |
| Nail Technician License | Application Cosmetology Professions License Verification of Formal Education Graduation Verification of Licensed Work Experience Verification of Completion of an Apprentice Program Application Cosmetolofy Profession Instructor Verification of Formal Cosmetology Trades Instructor Education Verification of On-the Job Cosmetology Trades Instructor Training Verification of Licensed Cosmetology Trades Experience Application Cosmetology Trades Apprentice Application Notice of Disassociation of Apprentice Apprentice Supervision Form Application Cosmetology Trade School Application Renewal Nail Technician Renewal Form Renewal Nail Technician School Renewal Form Request for License Verification Update your License record-Legal name change/address change Application for Criminal History Determination Verification of Active Practice in Another State Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Nail Technology licensing files | 23689 | |
| Controlled Substance | CSP Regulated Transaction Report CSP Unusal Transaction Report Update Your License Record-Legal Name Change/Address Change | Controlled Substance Precursor Purchase and Distribution Reports | 24238 | |
| Controlled Substance Precursor License | Application: Controlled Substance Precusor Renewal Controlled Substance Precusor Request for Verification of Licensur Update Your License Record-Legal Name Change/Address Change | Controlled Substance Pecursor Licensing Files | 17384 | |
| Chiropratic Physician License | Application: Chiropractic Physician Renewal Chiropractic Physician Request for Verification of Licensure Application for Criminal History Determination Application for Inactive Licensure Military and Public Assistance Request for Fee Waiver Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program | Chiropractic Physician Licensing Files | 9968 | |
| Genetic Counselor License | Application: Genetic Counselor Application: Temporary Genetic Counselor Renewal Genetic Counselor Request for Verification of Licensure Application for Criminal History Determination Application for Inactive Licensure Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Genetic Counselor Licensing Files | 23686 | |
| Pharmasist License for Controlled Substance | Application: Pharmacist Application with Controlled Substance Application: Temporary Pharmacist Application Application: Pharmacy Intern Volunteer Health Care Practitioner Application Renewal Pharmacist Application Renewal Pharmacist Application with Controlled Substance Request for Verification of Licensure Application for Criminal History Determination Application for Inactive Licensure Criminal History Disclosure Form Pharmacy Surrender Form Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Pharmacist Licensing Files | 9787 | |
| Pharmasist License for Controlled Substance/Class A,B,C,D, and E | Application: Pharmacy Class A with Controlled Substance Application: Pharmacy Class B with Controlled Substance Application: Pharmacy Class C with Controlled Substance Application: Pharmacy Class D with Controlled Substance Application: Pharmacy Class E with Controlled Substance Application: Dispensing Medical Practitioner Application: Dispensing Medical Practitioner Clinic Application: Licensed Dispensing Practice Renewal Pharmacy Application Renewal Pharmacy Application with Controlled Substance Renewal Dispensing Medical Practitioner Renewal Dispensing Medical Practitioner Clinic Renewal Licensed Dispensing Practice Request for Verification of Licensure Application for Criminal History Determination Change of Pharmacist in Charge Form Change of Designated Representative/Responsible Individual Form Pharmacy Surrender Form Controlled Substance Database Questionnaire Criminal History Disclosure Form Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program | Pharmacy Licensing Files | 10504 | |
| Pharmacy Technician License | Application: Pharmacy Technician Application: Pharmacy Technician Trainee Renewal Pharmacy Technician Request to Extend: Pharmacy Technician Trainee License Application for Criminal History Determination Application for Inactive Licensure Request for Verification of Licensure Criminal History Disclosure Form Pharmacy Surrender Form Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Pharmacy Technician Licensing Files | 17900 | |
| Veterinarian License | Application: Veterinarian with Controlled Substance Application: Veterinary Intern Application: Veterinary Technician Application: Temporary Veterinarian Renewal Veterinarian Renewal Veterinarian with Controlled Substance Renewal State Certified Veterinary Technician Request for Verification of Licensure Application for Criminal History Determination Application for Inactive Licensure Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Veterinarian Licensing Files | 9783 | |
| Contractor License | Application Contractor: All Classifications Renewal Contractor Application for Criminal History Determination Request for Verification of Licensure Add or Replace Qualifier or Add Classification Qualifier Disassociatin or Qualifer Resignation Change Ownership or Change Employee Status Activate Inactive License Bond Release Request Application Credit Report Authorization Owner-Worker Status Report S370 Fire Suppression System Contractor Experience Affidavit Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Contractors Licensing Files | 9297 | |
| Manufactured Housing Dealer License | Application: Factory Built Housing Dealer Renewal: Factory Built Housing Dealer Military Request for Fee Waiver Request for License Verification Application for Criminal History Determination Update Your License Record-Legal Name Change/Address Change | Manufactured Housing Dealer Licensing Files | 9866 | |
| Manufactured Housing Reports | Application for Quarterly Dealer Report | Manufactured Housing Reports | 7171 | |
| Building Permit Fee Surcharge Report | Application for Building Permit Fee Surcharge Quarterly Report | Building Permit Fee Surcharge Collections Qarterly Reports | 11558 | |
| Electrcian Apprentice License | Application: Apprentice Electrician Renewal: Apprentice Electrician Request for License Verification Application for Criminal History Determination Application for Funding from Education and Enforcement Fund Update Your License Record-Legal Name Change/Address Change Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Residential ElectricianLicensing Files | 17390 | |
| Architect License | Application: Architect Renewal: Architect Request for License Verification Application for Inactive License Application for Criminal History Determination CE Audit Form Application for Funding from Education and Enforcement Fund Update your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Residential Electrician Licensing Files | 9760 | |
| Building Inspector License | Application: Limited Inspector and Combination Inspector Renewal: Limited Inspector and Combination Inspector Request for license verification Application for Inactive License Application for Criminal History Determination CE Audit Form Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Building Inspector Licensing Files | 17391 | |
| Journeyman Electrician License | Application: Journeyman Electrician Renewal: Journeyman Electrician Request for License Verification Application for Criminal History Determination Application for Funding from Education and Enforcement Fund Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Journeyman Electrician Licensing File | 17389 | |
| Journeyman Plumber License | Application: Journeyman Plumber Renewal: Journeyman Plumber Military Request for fee waiver Request for License Verification Application for Criminal History Determination Application for Funding from Education and Enforcement Fund Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Journeyman Plumber Licensing Files | 17366 | |
| Landscape Architect License | Application: Landscape Architect Renewal: Landscape Architect Request for License Verification Application for Inactive License Application for Criminal History Determination CE Audit Form Application for Funding from Education and Enforcement Fund Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Landscape Architect Licensing Files | 9745 | |
| Master Electrician Licnese | Application: Master Electrician Renewal: Master Electrician Request for License Verification Application for Criminal History Determination Application for Funding from Education and Enforcement Fund Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Master Electrician Licensing Files | 17387 | |
| Professional Engineer, Structural Engineer, and Land Surveyor License | Application: Professional Engineer, Professional Structural Engineer and Professional Land Surveyor Renewal: Professional Engineer, Professional Structural Engineer and Professional Land Surveyor Request for License Verification Application for Inactive License Application for Criminal History Determination CE Audit Form Application for Funding from Education and Enforcement Fund Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Professional Engineer, Structural Engineer and Land Surveyor Licensing Files | 9722 | |
| Geologist License | Application: Professional Engineer, Professional Structural Engineer and Professional Land Surveyor Renewal: Professional Engineer, Professional Structural Engineer and Professional Land Surveyor Request for License Verification Application for Inactive License Application for Criminal History Determination CE Audit Form Application for Funding from Education and Enforcement Fund Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Professional Geologist Licensing File | 24237 | |
| Residential Electrician License | Application: Residential Electrician Renewal: Residential Electrician Request for license verification Application for Criminal History Determination Application for Funding from Education and Enforcement Fund Update your license record-Legal name change/address change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Residential Electrician Licensing Files | 17378 | |
| Residential Plumber License | Application: Residential Plumber Renewal: Residential Plumber Request for License Verification Application for Criminal History Determination Application for Funding from Education and Enforcement Fund Update Your License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Residential Plumber Licensing Files | 17364 | |
| Accounting Firm License | Application Certified Public Accountancy Firm Renewal Certified Public Accountacncy Firm Request for Verification of Licensure Application for Prelicensure Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Accounting Firms Licensing Files | 9725 | |
| Alarm Company Agent License | Application: Burglar Alarm Company Agent Renewal: Burglar Alarm Company Agent Temporary Burglar Alarm Company Agent Application Fingerprint Cards Application for Criminal History Determination Request for Verification of Licensure Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Alarm Company Agents Licensing File | 84336 | |
| Alarm Company License | Application Burglar Alarm Company Application Burglar Alarm Company Qualifier Renewal Burglar Alarm Company Renewal Change of Ownership for Burglar Alarm Company Qualifying Agent Disassociation or Resignation Application to Change a Name or Add a DBA on a Company License Request for Verification of Licensure Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Alarm Company Licensing Files | 84335 | |
| Court Reporter License | Application State Certified Court Reporter Renewal Court Reporter Application for Criminal History Determination Request for Verification of Licensure Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Certified Court Reporters Licensing Files | 9740 | |
| Certified Public Accountant License | Application: Certified Public Accountant Application: Certified Public Accountant Reinstatement Renewal Certified Public Accountant Renewal Verification of Experience for Licensure as a CPA Request for CPA Emeritus License Request for Verification of Licensure Request for Waiver of Continuing Professional Education Requirements for Certified Public Accountants Application for Prelicensure Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Certified Public Accountant Licensing Files | 9724 | |
| Contract Security Company License | Application: Contract Security/Armored Car Company Renewal: Contract Security Company Renewal: Armored Car Company Training Program Application Authorized Trainer Reporting Form Unauthorized Trainer Reporting Form Security Surrender Form Security Company Qualifying Agent Disassociation Form Application for Inactive Licensure Application to Change Name or Add DBA Application for Licensure Verification Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Contract Security Company Licensing File | 84342 | |
| Deception Detection License | Application: Deception Detection Examiner License Application: Deception Detection Intern License Application: Deception Detection Administrator License Application Fingerprint Cards Renewal Deception Detection Examiner Renewal Renewal Deception Detection Intern Renewal Renewal Deception Detection Administrator Renewal Application for Inactive Licensure Application for Criminal History Determination Request for Verification of Licensure Request for Fee Waive Request for License Verification Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Deception Detection Licensing Files | 84341 | |
| Funeral Service Licensing | Application: Funeral Service Establishment License Application: Funeral Service Director License Application: Funeral Service Intern License Renewal: Funeral Service Establishment Renewal: Funeral Service Director Verification of Association or Disassociation of Funeral Service Intern Application for Inactive Licensure Application for Criminal History Determination Request for Verification of Licensure Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Funeral Service Licensing Files | 9743 | |
| Hunting Guide/Outfitter Licensing | Application: Hunting Guide Registration Application: Outfitter Registration Renewal: Hunting Guide Renewal Renewal: Outfitter Renewal Application for Criminal History Determination Request for Verification of Licensure Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Hunting Guide/Outfitter Licensing Files | 27213 | |
| Preneed Funeral Arrangement Licensing | Application: Preneed Funeral Arrangement Sales Agent Renewal: Preneed Funeral Arrangement Sales Agent Verification of Association or Disassociation of Preneed Sales Agent Application for Inactive Licensure Application for Criminal History Determination Request for Verification of Licensure Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Preneed Funeral Arrangement Licensing Files | 9741 | |
| Preneed Funeral Plan Contracts and Trust Reports | Application: Preneed Funeral Arrangement Sales Agent Application Renewal: Preneed Funeral Arrangement Sales Agent Renewal Application Verification of Association or Disassociation of Preneed Sales Agent Application for Inactive Licensure Application for Criminal History Determination Request for Verification of Licensure Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Preneed Funeral Plan Contracts and Trust Reports | 20350 | |
| Private Probation Provider License | Application: Private Probation Provider License Application Renewal: Private Probation Provider Renewal Application Application for Inactive Licensure Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Private Probation Provider Licensing Files | 10544 | |
| Private Security Officer License | Application: Unarmed/Armed/Armored Car Private Security Officer Application Fingerprint Cards Renewal: Unarmed Private Security Officer Renewal: Armed Private Security Officer Renewal: Armored Car Security Officer Armored Car Core Continuing Education Form Armed or Unarmed Core Continuing Education Form Firearms Continuing Education Form Instructor Continuing Education Form Armed or Unarmed Professional Continuing Education Form Armored Car Professional Continuing Education Form Application: Inactive Licensure Application for Criminal History Determination Request for Verification of Licensure Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Private Security Officer Licensing Files | 84338 | |
| Athlete Agent License | Application: Athlete Agent License Renewal: Athlete Agent Renewal Application for Inactive Licensure Application for Criminal History Determination Request for Verification of Licensure Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Athlete Agent Licensing Files | 23687 | |
| Certified Social Worker License | Application: Certified Social Worker Renewal: Certified Social Worker Volunteer Application Request for Inactive License Request for license Verification Update you license record-Legal name Change/Address Change Application for Criminal History Determination Supervisor Association Verification Transgender Treatment Certification Verification of Active Practice in Another State Record of Post Graduate Supervised Mental Health Experience Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Certified Social Worker Licensing Files | 10503 | |
| Clinical Social Worker License | Application: Clinical Social Worker Renewal: Clinical Social Worker Volunteer Application Request for Inactive License Request for license Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Supervisor Association Verification Transgender Treatment Certification Verification of Active Practice in Another State Record of Post Graduate Supervised Mental Health Experience Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Clinical Social Worker Licensing Files | 9759 | |
| Marriage and Family Therapy License | Application: Marriage and Family Therapy Renewal: Marriage and Family Therapy Volunteer Application Request for Inactive License Request for license Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Supervisor Association Verification Transgender Treatment Certification Verification of Active Practice in Another State Record of Post Graduate Supervised Mental Health Experience Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Marriage and Family Therapy Licensing Files | 9746 | |
| Psychologist License | Application: Psychologist Renewal: Psychologist Volunteer Application Request for Inactive License Request for License Verification Update your License Record-Legal Name Change/Address Change Application for Criminal History Determination Supervisor Association Verification Transgender Treatment Certification Verification of Active Practice in Another State Record of Post Graduate Supervised Mental Health Experience Request for Inactive License Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Psychologist Licensing Files | 9758 | |
| Social Service Worker License | Application: Social Service Worker Renewal: Social Service Worker Request for Inactive License Request for license Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Verification of Active Practice in Another State Supervised Mental Health Experience Request for Inactive License Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Social Service Worker Licensing Files | 10514 | |
| Professional Counselor License | Application: Clinical Mental Health Counselor Renewal: Clinical Mental Health Counselor Volunteer Application Request for Inactive License Request for License Verification Update your License Record-Legal Name Change/Address Change Application for Criminal History Determination Supervisor Association Verification Transgender Treatment Certification Verification of Active Practice in Another State Record of Post Graduate Supervised Mental Health Experience Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver | Professional Counselor License Files | 17363 | |
| Licensed Substance Abuse Counselor License | Application: Substance Use Disorder Counselor Renewal: Substance Use Disorder Counselor Military and Public Assistance Request for fee Waiver Request for License Verification Update you License Record-Legal Name Change/Address Change Application for Criminal History Determination Supervisor Association Verification Verification of Active Practice in Another State Record of Post Graduate Supervised Mental Health Experience Request for Inactive License Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver | Licensed Substance Abuse Counselor Licensing Files | 17899 | |
| Acupuncture Practitioner license | Applications: Licensed Acupuncturist Renewal: Acupuncturist Renewal Form Military and Public Assistance Request for Fee Waive Request for License Verification Update you License Record-Legal Name Change/Address Change Internationally-Trained Applicant Credentialing Program Application for Criminal History Determination Retired Volunteer Health Care Practitioner Military Request for Inactive License and Fee Waiver | Acupuncture Practitioner Licensing Files | 9766 | |
| Athletic Trainer License | Applications: Athletic Trainer Renewal: Athletic Trainer Renewal Military and Public Assistance Request for Fee Waive Request for License Verification Update your License Record-Legal Name Change/Address Change Application for Criminal History Determination Military Request for Inactive License and Fee Waiver | Athletic Trainer Licensing File | 26197 | |
| Hearing Instrument License | Application: Hearing Instrument Specialist & Intern Renewal: Hearing Instrument Specialist Military and Public Assistance Request for Fee Waive Request for License Verification Update you License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver | Hearing Instrument Licensing Files | 9785 | |
| Massage License | Application: Massage Assistant Application: Massage Assistant In-Training Application: Massage Therapist Application: Massage Apprentice Renewal Massage Therapist Renewal Massage Therapist Apprentice Verification of Completion of Massage Assistant in Training Program Verification of Massage Therapist Education Program Verification of Completion of a Massage Apprentice Program Verification of Licensed Practice as a Massage Therapist Notice of Dissassociation of Application Apprentice Massage Therapist Request for License Verification Update your License Record-Legal Name Change/Address Change Application for Criminal History Determination Verification of Active Practice in Another State Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Massage Licensing Files | 9733 | |
| Occupational Therapy License | Application: Occupational Therapist Application: Occupational Therapist Assistant Volunteer Application Renewal: Occupational Therapist Renewal: Occupational Therapist Assistant Request for License Verification Update Your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Occupational Therapy Licensing Files | 9728 | |
| Physical Therapy License | Application: Physical Therapist Application: Physical Therapist Assistant Application: Tempoarary Physical Therapist, Physical Therapist Assistant Retired Volunteer Health Care Practitioner Renewal: Physical Therapist, Physical Therapist Assistant Request for License Verification Update you License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Physical Therapy Licensing File | 9789 | |
| Speech-Language Pathologist and Audiologist License | Applications: Audiologist,Speech Language Pathologist,Speech Language Pathologist and Audiologist,Temporary Speech Pathologist, Temporary Audiologist Renewal: Audiologist, Speech-Language Pahologist Request for License Verification Update you License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Speech-Language Pathologist and Audiologist Licensing Files | 9793 | |
| Dental Hygienist License | Application: Dental Hygienist, Dental Hygienist with anesthesia Volunteer Dentist/Hygenist Renewal: Renewal Form Request for License Verification Update your License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Dental Hygienist Licensing Files | 10537 | |
| Dentist License | Application: Dentist Local Anethesia, Dentist-Minimal Sedation, Moderate Sedation, Deep Sedation & Genderal Anesthesia Application: Dentist Controlled Substance Volunteer License Dentist/Hygienist Renewal: Dentist without Controlled Substance, Dentist with Controlled Substance Renewal: Controlled Substance Renewal Request for License Verification Update you License Record-Legal Name Change/Address Change Application for Criminal History Determination Internationally-Trained Applicant Credentialing Program Military Request for Inactive License and Fee Waiver Military and Public Assistance Request for Fee Waive | Dental License | 9774 | |
| Prelitigation Hearings Cases | Panel Opinion Panel Decision Certificate of Compliance Notice of Availability of Hearing Sample Subpoena Sample Notice of Intent Sample Request for Prelitigation Sample Certificate of Mailing Request for Licensing List Pre-litigation Proceedings | Prelitigation Hearings Case File | 10136 | |
| Probation and Compliance Records | Current Compliance Reports: Board Summary Alcohol Drug NS Board Summary Non Alcohol Drug NS Certification of Receipt of MOU Criminal Probation Report Employer Supervisor General Employer Supervisor Report Healthcare Employer Supervisor Report Pharmacy Supervisor Report Self Assessment Report Pharmacy Receipt of Stipulation/MOU Recommendation for Amendment Conditions for NOAA Healthcare Provider Report Probation Violation Referral Therapy Report Attestation of Un-Employment 12 Step PIR Log Chaperone Log Afterare Report GRAMA Request | Probation and Compliance Records | 14040 | |
| Controlled Substance Database Registry | CSD Online Registration Form CSD Delegate(Proxy) Application CSD Security Agreeement CSD Excempted User Security Agreement | Controlled Substance Database Registry | 26580 | |
| Controlled Substance Database Requests | Third Party Requests DEA/FBI Subpoena Search Warrants Individual / Personal Request Accountability Requests | Controlled Substance Database Requests | 26630 | |
| Controlled Substance Tracking Files | CSD Print out | Controlled Substance Tracking Files | 26589 | |
| Criminal History Determination Records | Application for Criminal History Determination | Criminal History Determination Records | 3001 | |
| Investigative Subpoena Files | Subpoena Duces Tecum with Memorandum | Investigative Subpoena Files | 14410 | |
| License Address/Telephone Number Request | UI online request form | Licensee Address/Telephone Number Request Forms | 25024 | |
| Lien Recovery Fund | Qualified Beneficiary Claim Form Laborer Claim Form Homeowner Application for Certificate of Compliance (Total project cost more than $5,000) Homeowner Application for Certificate of Compliance (Total project cost $5,000 or less) | Lien Recovery Fund Files | 20352 | |
| Temporary Permit Report | These are located within the appropriate profession. | Temporary Permit Report | 81206 | |
| Diversion Case Files | Program Contract Program Contract Amendments Confidentiality Agreement Acknowledgment of Participation Release of Information Worksite Liaison Report Therapy Report Medical Records Evaluations Discharge Recommendations Treatment Progress Reports/Updates Medication Agreement Request for the use of a potentially impairing medication Request for Reconsideration Compliance Letters Program Completion Letter Report Form Referral Form Meeting Attendance Log Non Practice Agreement GRAMA Request Behavior Chain Analysis | Diversion Case Files |
