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REINSTATEMENT OF LICENSURE APPLICATION NOTE: Use this form ONLY if you were a professional member, a licensee, or a professional licensee AND if your lapse in licensure is less than seven (7) years.
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How to fill out reinstatement of licensure application

01
Obtain a copy of the reinstatement application form from the licensing board
02
Fill out the personal information section, providing your full name, address, and contact information
03
Provide information about your previous licensure, including the type of license you held and the date it was revoked or expired
04
Include any documentation required by the licensing board, such as proof of continuing education credits or professional liability insurance
05
Submit the completed application form along with any required documentation to the licensing board
06
Pay any required fees for the reinstatement process

Who needs reinstatement of licensure application?

01
Individuals whose professional license has been revoked or expired and wish to have it reinstated
02
Professionals who are required to maintain an active license for their field of work
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Reinstatement of licensure application is the process by which a previously licensed individual applies to have their license reinstated after it has been expired or revoked.
Individuals whose licenses have expired or been revoked are required to file a reinstatement of licensure application.
To fill out a reinstatement of licensure application, the individual must provide personal information, details about their previous licensure, and any required documentation.
The purpose of reinstatement of licensure application is to allow individuals to regain their professional license after it has been expired or revoked.
Information such as personal details, previous licensure information, and any requested documentation must be reported on the reinstatement of licensure application.
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