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.
Wis. Stat. § 440.08 (2), the required renewal date for the Respiratory Care Practitioner credential is 06/30/even 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 certification may apply for a temporary certificate at the same time but must pay both fees and meet the following conditions:
Individual Licensed in Another State Temporary Certificate
- Be a graduate of an approved school and passed the national certification examination.
- Passed the Wisconsin statute and rules examination and is not required to take an oral examination.
- Pass required examinations.
- Board review of application (if applicable) for determination to grant credential.
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.
Pre-Credential Education Information
Graduate from a school with a course of instruction in respiratory care approved by the Commission on Accreditation for Respiratory Care (CoARC) or the Joint Review Committee for Respiratory Care (JRCRC).
National Board for Respiratory Care.
Application for Licensure
||Application For Certification to Practice Respiratory Care |
|3217||Application for Fee Reduction (If applying for a fee reduction, this form must accompany Form #1790.)|
1792||Respiratory Care Practitioner Certificate of Professional Education |
|1794||Practice of Respiratory Care (This form is not required for new graduates)|
2871||Temporary Certificate Request For Certified Respiratory Care Practitioner (For individuals licensed in another state|
||Malpractice Suits or Claims Form (If applicable)|
3085||Application for Predetermination|
||Convictions and Pending Charges|
3071||Fax Payment Form|