2017 Wisconsin Act 278, beginning August 1, 2018, prior to submitting an application for a credential, an individual may apply to the Department for a determination of whether the individual would be disqualified from obtaining the credential due to his or her conviction record. To apply for a predetermination, please fill out
Form #3085 and submit all required documentation specified on the form. Pursuant to
Wis. Stat. §
111.335(4)(e), the offenses or kinds of offenses that may result in a refusal, bar, or termination of licensure are published under Additional Resources on the left side of this page.
Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
Wis. Stat. § 440.08 (2), the required renewal date for the Occupational Therapy Assistant credential is 05/31/odd years. 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 licensure may apply for a temporary certificate at the same time but must pay both fees and meet the following conditions:
- Be a graduate of an approved school and be scheduled to take the national certification examination or be awaiting examination results.
- Practice during the period of the temporary certificate shall be in consultation, at least monthly, with an occupational therapist who shall at least once each month endorse the activities of the person holding the temporary certificate.
Pre-Credential Education Information
Successfully complete the academic requirements and supervised internship of an accredited educational program in occupational therapy.
Certification by the
National Board for Certification in Occupational Therapy
Late Renewal Applicants (Wisconsin license expired more than 5 years)
Must submit application with appropriate fees and supporting documents, including proof of continuing education
Application for Licensure
1569||Application for a License to Practice Occupational Therapy or as a Occupational Therapy Assistant |
|3217||Application for Fee Reduction (If applying for a fee reduction, this form must accompany Form #1569.)|
1570||Occupational Therapist or Occupational Therapy Assistant Certificate of Professional Education (This form must come directly from your school)|
1572||Request for Temporary License for Occupational Therapist or Occupational Therapy Assistant |
2829||Malpractice Suits or Claims Form (if applicable)|
|3085||Application for Predetermination|
Convictions and Pending Charges
|3071||Fax payment form|