• Application Instructions & Supporting Documentation
  1. Application: Submit an application online with the application fee of $100.00.
  2. Criminal Background Check
  3. Positive Response Documentation: If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. Please upload at the time of application or log back into your account and use the License Update option.
  4. Name Change Documentation: Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.
  5. Transcript: A transcript of grades from the school from which the occupational therapist or occupational therapy assistant obtained his or her degree that shows the degree conferred. Graduates of a foreign occupational therapy program must submit an official translation if the transcript is not in English. Please upload at the time of application or log back into your account and use the License Update option.
  6. Diploma: Certified copy of Diploma or an original letter from the school indicating the applicant has completed the degree and has graduated (graduation date must be listed) and this letter must be signed by the program director/dean of program. The letter must have an original signature or the school seal if it’s a stamped signature.  Please upload at the time of application or log back into your account and use the License Update option.
  7. Exam Score Report: Score report submitted directly to the Committee from NBCOT.
  8. Verification of State Licensure:  Must be completed by every state where you hold or have held a license or certification. This form needs to be submitted to the Indiana Occupational Therapy Committee by the state in which you hold or have held a license or certification. If necessary, please feel free to use the form below to submit your request from each state you hold a license.
  9. Temporary applicants: You must submit your application for full licensure first, and then submit your application for the temporary permit with the $50.00 application fee. Also, you must submit your completed Affirmation of Supervision section found on page 3 of State Form 43826.  Please upload at the time of application or log back into your account and use the License Update option.

  A person with a temporary permit may only practice occupational therapy or occupational therapy assisting under the direct supervision of an Indiana certified occupational therapist that is responsible for the patient.

  
  Verification of State Licensure Form - May be submitted to states that you hold or have held any health profession license so that they can verify that license to Indiana. You may want to contact the state(s) prior to sending this; they may not need this form.

  Application for Sponsorship as a Continuing Education Provider for OT's and OTA's

• Information on Reciprocity and Provisional Licenses
  • Licensure by Reciprocity: The Committee shall issue a license to an applicant if the applicant satisfies the following conditions:
    • Holds a current license from another state or jurisdiction; and
      • that state's or jurisdiction's requirements for a license are substantially equivalent to or exceed the requirements for a license of the Committee; or
      • when the person was licensed or certified by another state:
        • there were minimum education requirements in the other state or jurisdiction;
        • if there were applicable work experience and clinical supervision requirements in effect, the person met those requirements to be licensed in that state; and
        • if required by the other state or jurisdiction, the person previously passed an examination required for the license or certification.
    • Has not committed any act in any state or jurisdiction that would have constituted grounds for refusal, suspension, or revocation of a license, certificate, registration, or permit to practice that occupation in Indiana at the time the act was committed.
    • Does not have a complaint or an investigation pending before the regulating agency in another state or jurisdiction that relates to unprofessional conduct.
    • Is in good standing and has not been disciplined by the agency that has authority to issue the license or certification.
    • If a law regulating the applicant's occupation requires the Committee to administer an examination on the relevant laws of Indiana, the Committee may require the applicant to take and pass an examination specific to the laws of Indiana.
    • Pays any fees required by the Committee for which the applicant is seeking licensure.
  • Provisional Licenses: An applicant for a license by reciprocity is entitled to a provisional license, if all the following conditions are met:
    • The individual signs an attestation, under the penalties for perjury, the following:
      • The individual is in good standing in all states and jurisdictions in which the individual holds a license or certificate for the occupation applied for.
      • The individual has not had a license revoked and has not voluntarily surrendered a license in another state or jurisdiction while under investigation for unprofessional conduct.
      • The individual has not had discipline imposed by the regulating agency for the occupation in another state or jurisdiction.
      • The individual does not have a complaint or an investigation pending before the regulating agency in another state or jurisdiction that relates to unprofessional conduct.
    • The individual does not have a disqualifying criminal history.
    • The individual submits verification that the individual is currently licensed or certified in at least one (1) other state or jurisdiction in the occupation applied for.
    • The individual has submitted an application for a license or certificate under this chapter with the board and has paid any application fee.
  • Expiration of Provisional Licenses: A provisional license expires on the earlier of the following:
    • Three hundred sixty-five (365) days after it is issued.
    • The date on which the Committee approves and issues the individual a license for the occupation.
    • The date on which the Committee denies the individual's application for a license or certificate for the occupation.

Renewal Instructions

• Renewal Information
  • Renew Online!
  • Occupational Therapist and Occupational Therapy Assistant licenses expire December 31 of even-numbered years.
  • The renewal fee for Occupational Therapists and Occupational Therapy Assistants is $100.
  • Occupational Therapist and Occupational Therapy Assistants are required to obtain eighteen (18) hours of continuing competency prior to renewal. For more information regarding CC please see the next section.

  Renewal notices are sent approximately ninety (90) days prior to the expiration date. License holders with valid email addresses on file will be emailed the renewal notice. Those who do not have valid email addresses on file will be mailed the renewal notice; this notice is mailed to the address of record with the Committee. The Committee has no way of knowing whether or not a notice reaches its destination; therefore, when a notice has been mailed to a valid email address or mailed, the duty of the Committee has been performed.

  In order to renew the CE Sponsor online, you must have your required documentation (advertising brochure) ready to upload.

  
  Paper Renewal Documents

  To renew your license by paper, you must select a document below. Print and mail the completed form with the required renewal fee to the Indiana Professional Licensing Agency. The address is on the form, and checks should be made out to 'Indiana Professional Licensing Agency.'

  OT/OTA Renewal Form

  OT/OTA Reinstatement Form - Expired 3 or more years

  OT CE Sponsor Renewal Form - Online Renewals Now Available!

  
  Address Change

  You are required to notify the Professional Licensing Agency of any address changes. You can change your address online during the renewal process or at anytime by going to MyLicense.IN.gov and logging into your account.

  Name Change

  You may have the name changed on your licensure records by submitting a copy of an official name change document such as a marriage certificate or a divorce decree.  You may use our License Update feature 24/7 by logging into your account at MyLicense.IN.gov and selecting the option from the left Menu.  If you wish to print a free pocket card or purchase a pocket card due to the name change, you can access that option also in your MyLicense account after confirming the change has been made.
• Continuing Education Requirements

  All active licensees who were valid for less than twelve (12) months, no continuing competency is required for renewal.  If the license is valid for twelve (12) to twenty-four (24) months, nine (9) hours of continuing competency is required for renewal. If the license was valid for twenty-four (24) months, eighteen (18) hours of continuing competency is required for renewal. Nine (9) hours must be Category I courses; not more than nine (9) hours may be earned through Category II credits.  IF YOU HAVE NOT COMPLETED YOUR CC – do not renew your license until you have met the requirements.

  Continuing Education Requirements

  Eighteen (18) hours of continuing competency are required for each license renewal.

  Programs MUST be approved by the Committee or be sponsored by one of the following:

  1. American Occupational Therapy Association or AOTA approved providers.
  2. National Board for Certification in Occupational Therapy.
  3. Indiana Occupational Therapy Association or IOTA approved providers.

  Continuing competency hours must be obtained within the biennial renewal period; and may not be carried over from one (1) licensure period to another.

  If a license or certificate is valid for less than twelve (12) months, no continuing competency is required for renewal. If the license or certificate is valid for twelve (12) to twenty-four (24) months, nine (9) hours of continuing competency is required for renewal.

  Audits for compliance with continuing competency requirements and actions regarding noncompliance will be conducted as provided for in IC 25-1-4.

  A license or certificate holder must do the following:

  1. Certify completion of continuing competency required by this rule at the time of license renewal.
  2. Retain verification of completion of continuing competency required by this rule for three (3) years after the last renewal date.
  3. Present verification of completion of continuing competency required by this rule at the request of the committee.

  During each two (2) year license period, an occupational therapist or occupational therapy assistant must complete at least eighteen (18) hours of continuing competency of which at least nine (9) hours must be in Category I courses.

  An occupational therapist or occupational therapy assistant may not earn more than nine (9) Category II credit hours towards the requirements under this section.

  All eighteen (18) hours of the continuing competency requirements may be obtained through distance learning methods provided it is obtained from an approved provider.

  Category I continuing competency courses include the following and must be at least one (1) contact hour in length:

  1. Formally organized courses.
  2. Workshops.
  3. Seminars.
  4. Symposia.
  5. Home study programs, including approved online or web-based, audio, and video instructional programs.
  6. Undergraduate or graduate courses from an accredited institution related to the management, practice, and education of occupational therapy.

  Category II continuing competency activities include the following:

  1. Publications of books, articles, or films related to practice, management, or education of occupational therapy. A maximum of five (5) contact hours will be awarded under this subdivision.
  2. Preparation for teaching a course in occupational therapy in an accredited program. A maximum of six (6) contact hours will be awarded under this subdivision.
  3. Supervision of fieldwork for Level I and Level II students. One (1) contact hour will be awarded for every thirty-two (32) hours of supervision with a maximum of six (6) contact hours.
  4. In-house or in-service seminars specifically designed for training or teaching.
  5. Actively participating with professional organizations as an officer or committee chairperson.
  6. Supervising occupational therapy students when doing their observational hours as a pre-OT student applicant.
  7. Research activities other than publications and presentations.

  Continuing education courses offered by accredited colleges are acceptable for purposes of this rule if the course content is designed to directly enhance the practitioner's knowledge and skill in providing services relevant to the practice of occupational therapy.

  The following conversion will be used for this type of credit:

  1. One (1) semester hour equals fifteen (15) contact hours.
  2. One (1) quarter hour equals ten (10) contact hours.

  CE Sponsor Information

  Individuals or organizations applying for approval as sponsors of category I continuing competency courses must submit a written application for approval at least thirty (30) days prior to the date of the individual's or organization's presentation of a program for continuing competency credit.

  Programs presented:

  1. Prior to the receipt of approval; or
  2. After the withdrawal or termination of approval of the individual or organization;
     by the committee shall not count toward continuing competency requirements.

  The written request for approval shall include the following:

  1. The name of the sponsoring individual or organization.
  2. The address and telephone number of the individual or organization.
  3. Organizations must include a description of the specific purposes for which the organization was formed, and individuals in the organization with direct responsibility for the training activities of the organization, a vita or resume listing all educational and relevant work experience.
  4. For individuals, a vita or resume listing all educational and relevant work experience.
  5. A list of each educational program presented or sponsored by the individual or organization for one (1) year prior to the date of the request for approval.
  6. For each program listed under subdivision (5), the following must be included: the date and location of the program; a brief summary of the content of the program; the name and the academic and professional background of the lecturer; the number of clock hours of continuing education credit granted by a state licensing or similar regulatory authority for the program.
  7. A description of the course evaluation technique utilized for all educational programs.
  8. A sample of the certificate awarded for the completion of all educational programs, if available.
  9. A list of all programs anticipated to be presented or sponsored during the requested approval period, if available.
  10. A description of the procedure to be utilized for monitoring and documenting attendance.

  The individual or organization is responsible for monitoring attendance in such a way that verification of attendance throughout the program can be reliably assured.

  Approval of the individual or organization will be valid for a maximum period of two (2) years. The individual or organization is responsible for applying to the committee for approval.

Fee Schedule

• Occupational Therapy Applications/Renewals

  Occupational Therapy Application/Renewal	Fee	Penalty	Total
  Application for Certification	$100	NA	$100
  Renewal of Certification	$100	NA	$100
  License Reinstatement - up to 3 years expired	$100	$50	$150
  License Reinstatement - over 3 years expired	$100	$100	$200