Forms

All documents may be submitted to the Board office via:

1) Email:  mdotboard.user@maryland.gov    or

2) Fax:  (410) 402-8561   or

3) US Mail:  MD Board of Occupational Therapy, Spring Grove Hospital Center, 55 Wade Avenue, Bland Bryant Building, 4th Floor, Baltimore, MD  21228.  


Necessary forms for an initial license:

*For a temporary license, a confirmation of examination registration and eligibility to examine notice from NBCOT will be needed in lieu of NBCOT certification verification.

ALL APPLICANTS SHOULD ALSO DOWNLOAD THE APPLICANT'S CHECKLIST AND BOARD SURVEY​​.
 

 Reinstatement Forms

To be compliant with the biennial schedule being implemented in 2016, expiration dates for reinstated licenses will be determined by the original year of licensure.  Licensees with an original even licensure year will have a reinstatement expiration date ending in an even year.  Licensees with an original odd licensure year will have a reinstatement date ending in an odd year.  Fees will be determined by the original licensure date.

Necessary forms for reinstatement:

  • Completed reinstatement application, along with a fee between $225 and $450.  Contact the Board office for exact fee.  Your payment must be mailed to the office; a scanned copy of your payment is not acceptable.​

  • Documentation certifying a minimum of 24 contact hours of continuing education activities obtained with a 2-year period preceding the application for reinstatement as specified in COMAR 10.46.04.  If there has been a lapse of 3 or more years in practice, please see COMAR 10.46.04.04 C(3) for more information.  This requirement is waived if you are currently NBCOT certified.

  • 2 moral character endorsement forms

  • Verification of initial certification or examination from NBCOT

  • If currently and/or previously authorized to practice in any other state or country, or both, a letter of verification of licensure, registration, or certification in good standing from the appropriate authority of that state or country.

  • Successful completion of the Maryland Board of Occupational Therapy Jurisprudence Exam. 


Renewal Forms

Licenses expire on June 30th.  Notice of renewal and application shall be sent to the last known address of each active licensee at least 30 days before the expiration date of the license.  

The Board encourages licensees to complete the online renewal application​.  Renewal is available from May 1 through June 30.

  • A completed renewal application shall be returned to the Board, postmarked, by the deadline for renewal.  At the time of licensure renewal, a licensee who has completed the continuing education requirement shall sign the renewal form attesting to the completion of the required contact hours as specified in COMAR 10.46.04.05.

  • Licensees who are audited, must successfully complete the requirement of the audit prior to renewal of licensure as specified in COMAR 10.46.04.05.

  • Renewal fees are published on the renewal page.  

  • A completed renewal application postmarked after the deadline shall be assessed a late fee as specified in COMAR 10.46.05 (currently $25).

  • Incomplete applications will not be accepted as complete.


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    To further its commitment to equal opportunity, the Maryland Board of Occupational Therapy requests applicants to provide, voluntarily, their race/ethnicity information.  This information will be used for statistical purposes only by authorized personnel. 

    Explanation of Race/Ethnic Categories:

    1. American Indian or Alaska Native - a person having origins in any of the original peoples of North or South America, including Central America, and who maintains tribal affiliations or community attachment.
    2. Asian - a person having origin in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
    3. Black or African American - a person having origins in any of the black racial groups of Africa.
    4. Hispanic or Latino - a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
    5. Native Hawaiian or other Pacific Islander - a person having origins in the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
    6. White - a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
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