Licensing Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| Initial Licensing Application | All License Types | Not Available Yet | |
| Initial Licensing Application Guide | All License Types | Not Available Yet | |
| Fingerprint Packet Request Form | All License Types | Online | |
| 2026-2028 Active Biennial License Renewal Application | Dental Hygienists | Online | |
| 2026-2028 Non-Active Biennial License Renewal Application | Dental Hygienists | Online | |
| 2025-2027 Active Biennial License Renewal Application | Dentists | Online | |
| 2025-2027 Non-Active Biennial Renewal Application | Dentists | Online | |
| Dental Hygienist Renewal Guide | Dental Hygienists | Not Available Yet | |
| Annual Renewal Application | Limited/Restricted Licensees | Online | |
| Dental Specialty License Application (Conversion) | Dentists | Not Available Yet | |
| Reinstatement Application - Reactivate | All License Types | Not Available Yet | |
| Reinstatement Petition - Non-Active | All License Types | Not Available Yet | |
| Reinstatement Petition - Revoked | All License Types | Not Available Yet | |
| HIPPA Form for Licensing | All License Types | Not Available Yet | |
| Certification of Specialty Program Completion | Dentists | Not Available Yet | |
| Certification from Dean of the Dental College | Dentists | Not Available Yet | |
| Limited License Dental Affidavit | Dentists | Not Available Yet | |
| Voluntary License Surrender | All License Types | Not Available Yet | |
| Wall Certificate Order Form | All License Types | NA |