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The applications listed below are available online, in Adobe Acrobat (PDF) format. If you do not have Adobe Acrobat, you can download it http://www.adobe.com/.
If you do not have Adobe Acrobat and you would prefer to receive an application form by mail, you may obtain one by contacting the Board staff at (317) 234-3040. Please note that we will not fax applications. All requests will be honored only via regular postal mail delivery.
You may also request an application in writing at:
or email us at pla11@pla.in.gov. Please provide your name, full mailing address, and indicate for which profession you need an application.
NOTE: LICENSE RENEWAL APPLICATIONS ARE NOT AVAILABLE FOR DOWNLOAD FROM THIS PAGE. LICENSE RENEWAL APPLICATIONS ARE LICENSEE SPECIFIC, WHICH RESULTS IN OUR INABILITY TO MAKE THEM AVAILABLE ONLINE. YOU CAN RENEW YOUR LICENSE ONLINE WITH A CREDIT OR DEBIT CARD BY CLICKING ON THE "LICENSE EXPRESS" OPTION ON THE LEFT SIDE OF THIS SCREEN.