Board Forms

License Verification

Notice to Applicants/Licensees

As of January 1, 2019, the fees for the FBI fingerprint background check have gone up $.50. The total fees are now $36.75. 

All licenses to practice athletic training expire on June 30 each year regardless of the date they were issued. 

In addition, the Board is required to keep a public address on file for each licensee. Your work address is used as your public address by default. If you do not provide the Board with a work address, your home address will be used as your public address. You may provide an alternate address by emailing the Board.

    Online Restoration Application 2018-2018

    This license restoration application for 2018-2019 is hosted by LogiForms and is completed entirely online with an option to pay with a credit card. A convenience fee of $9.27 will be added to the $300.00 license restoration fee. Your credit card will be charged a total of $309.27. Once your payment has been successfully processed, you will receive an email with your restored license attached as a PDF for you to print.

    Application/Licensure Forms