FORMS
 

We've been updating several of our forms recently and hope you find these more helpful in that they're actually "fillable" right here on our site.  Please also note that where fees are applicable, most of them are payable online (below).  

• Application (Information letter)(original licensure [also AU], reinstatement, provisional)
• Affidavit for Criminal Background
• Affidavit for Citizenship Status
• Test Attestation Form
• Change of Name, Address or Contact Information Form
• Endorsement/Reciprocity Licensure Questionnaire (Information letter)(submit one per State licensed...fee associated, payable online below)
• Assistant Administrator Application Form
• CEU Approval Request (For organizations planning to teach a course and requesting CEUs approved)

FEES

Following are some "common" fees.  Some of these fees are included in the "information letter" linked above.

Administrator University (AU) - $2500.00
Application Fee (AU, licensure) - $100.00 - Applications are good for one year
AIT - $350.00
NAB Review Seminar - $250.00
Licensure fee/Annual Renewals - $200.00
Initial Preceptor Training - $300.00 (6 CEUs awarded)
Refresher Preceptor Training - $150.00 (3 CEUs awarded - Preceptorships are renewed every 24 months)

Our entire fee schedule is published in our "Rules" in OAC 490:1-7-2, Schedule of fees.

AND NOW, YOU CAN ELECT TO PAY MOST OF THESE FEES (even fines levied) ONLINE... 
Through our ONLINE PAYMENT SYSTEM AND we also have the ability for you to REGISTER and PAY ONLINE through our "Calendar" which is linked at the top of every page on our site...

(NOTE:  There are additional convenience and transaction fees associated with paying online)