Temporary License
To apply for a Temporary Administrator or Manager License, create your account in the Applicant Portal Choose: "New user? Apply Now"
Letter of Intent forms for Temporary Administrator and Temporary Manager are found on page 2 at Resources
Public Records request form
The Public Records Request form is used for requesting copies of public records from the Board or requesting administrator and manager mailing lists. Please email your completed form to [email protected] A member of our staff will contact you to advise of any fees that may be associated with your request.
A list of Licensees can be found, free of charge, on the Online Registry
Duplicate Manager Certificate Request
A Duplicate Manager Certificate is $75. To request a duplicate, log into your Licensee Portal and complete the required fields and payment in the Requests > Duplicate Certificate section found on the left navigation pane.
Duplicate Administrator License Request
A Duplicate Administrator license is $75. To request a duplicate, log into your Licensee Portal and complete the required fields and payment in the Requests > Duplicate Certificate section found on the left navigation pane.
CEU extension request form
CEU extension request form can be used between April 30th and July 31st to request an extension of time to complete the CEU requirement for license or certificate renewal. The form must be filled out and uploaded with all required attachments as a service request in the elicense portal.