Now Live: Easier Online License Applications and Renewals!
LicensE, our new, online, self-guided occupational license application platform is now live! The list of licenses available via LicensE plus user guides and other resources are available on the LicensE Customer Information page. Anyone applying for an initial license for any of the credentials listed can apply at license.wi.gov.
LicensE is also available for some license renewals. The list of license renewals available via LicensE is in the chart on the LicensE Customer Information page.
We are introducing a new LicensE Application Status Lookup tool. This tool will make it easier for employers to track the application status of current and future employees, and it will help academic advisors support students during the license application process. To access the Application Status Lookup tool, individuals will need an applicant's 10-digit PAR number. An applicant may provide the number to anyone who could support their application. For more information, see our press release.
Temporary Act 10 Credential
A health care provider credentialed in good standing in another state may apply for a temporary credential to provide services in Wisconsin while a Wisconsin application for a permanent credential is pending. See information sheet 2021-A101, Form 2021-A102: Health Care Employer Notification, and our Frequently Asked Questions (FAQs) for further details.
License Information
Per
Wis. Stat. § 440.08 (2), the required renewal date for the Dietitian credential is 10/31/ each even-numbered year. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
- An applicant for permanent certification may apply for a temporary certificate at the same time but must pay both fees, have completed education and experience requirements, and have submitted an application to take the next available examination.
Pre-Credential Education Information
Received a bachelor's, master's or doctoral degree in human nutrition, nutrition education, food and nutrition, dietetics or food systems management from a program at a regionally accredited college or university located in a state or territory of the United States or from a program that the board determines is substantially equivalent.
Complete at least 900 hours of dietetics practice in any state or territory of the United States under approved supervision. The 900 hours must include a minimum of 300 hours in clinical dietetics, 120 hours in food service administration, and 120 hours in community nutrition.
If you are credentialed in another jurisdiction, please see
Reciprocal Information and
Wis. Stat. § 448.82.
Application for Licensure
| Form | Description
|
|---|
|
2113 | Credentialing Information for Dietitian Certification Applicants (including late renewal after 5 years)
|
| 3217 | Application for Fee Reduction (Optional - If applying for a fee reduction, this form must accompany online LicensE application.)
|
| 2128 | Dietetics Practicum Experience
|
|
2111 | Dietitians Certificate of Professional Education |
|
2112 | Request for a Temporary Dietitian Certificate |
|
2115 | Request for Verification of Registration |
|
2829 | Malpractice Suits or Claims Form (if applicable) |
|
3085 | Application for Predetermination (Optional-Submit ONLY if you have been convicted of any felony, misdemeanor, or other violations of federal or state law in this state or any other and you desire a review of your conviction record before applying for a credential.) |
|
2252 | Convictions and Pending Charges (if applicable)
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