Faxes not accepted.
Make out checks to ECPTOTE and mail to: ECPTOTE, 1801 Congress Ave Ste 10.900, Austin, TX 78701.
Note: Changes that went into effect June 1, 2019 removed certain requirements for OTAs with a regular license, including removing the requirement that OTAs with a regular license maintain a supervision log and that they submit the OTA supervision form and information regarding changes in supervisor. Refer to a related link under “Additional Resources” from the OT Act and Rules page for further information.
OT CE Submission Form (pdf/fillable form)
Consumer Information Sign (pdf)
Employment History (pdf)
Independent Study (pdf): Optional form that may be used by those completing an independent study for CE
Mentorship Agreement (pdf): Optional form that may be used by those completing a mentorship experience for CE
Military, Military Spouses, Veterans Initial Licensure Fee Waiver (pdf)
OT/OTA Application for Initial Licensure (pdf/fillable form)
OT/OTA License Renewal Form (pdf/fillable form)
OT/OTA Retired Status Application/Renewal Form (pdf/fillable form)
Re-Exam Form (pdf)
Replace a License (includes with Name Change) – Select the “Replace a License” link from the Looking For? menu
Restoration of an OT/OTA License Form (pdf)
SSN Statement (pdf)
Temporary OTA Licensee Supervision Log (pdf) To be used by temporary OTA licensees only
Temporary Occupational Therapist Licensee Supervision Record (pdf): To be used by temporary OT licensees only
Temporary OT/OTA License Supervision Form (pdf): To be used by temporary licensees or those applying for a temporary license
ECPTOTE • 1801 Congress Ave Ste 10.900 • Austin, TX 78701 • Phone: (512) 305-6900
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