Predetermination
Pursuant to
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.
License Information
Fee Reduction
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.
Per
Wis. Stat. § 440.08 (2), the required renewal date for the Speech-Language Pathologist credential is 01/31/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 must complete the postgraduate clinical fellowship in speech-language pathology.
Before commencing a postgraduate clinical fellowship, an applicant must obtain a temporary license under
Wis. Stat. § 459.24(6). The applicant must submit an application with all supporting documents and fees, including evidence satisfactory to the board that the applicant has completed one of the following:
A supervised clinical practicum and received a master's degree in speech-language pathology from a college or university approved by the board.
Education or training that the board determines is substantially equivalent to the completion of the requirements under subd. 1.
If applying for a temporary license to practice speech-language pathology, an application to take the next available examination for licensure as a speech-language pathologist required under s. 459.26 (2) (a), Stats.
A temporary license is valid for a period designated by the board, not to exceed 18 months and may be renewed once for 18 months or longer, at the discretion of the board.
Per Wisconsin State Statutes 440.08 (2), the required renewal date for the Speech-Language Pathologist credential is January 31st in odd-numbered 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.
Pre-Credential Education Information
Complete a supervised clinical practicum and receive a master's degree in speech-language pathology from a college or university approved by the examining board or complete education or training that the board determines is substantially equivalent to the completion of those requirements.
Application for Licensure
| Form | Description |
|---|
|
1987 | Application For Licensure to Practice Speech-Language Pathology |
| 3217 | Application for Fee Reduction (If applying for a fee reduction, this form must accompany Form #1987.) |
|
1984 | Speech-Language Pathology Certificate of Professional Education Form (This form must be completed by your school) |
|
1979 | Application for Temporary License to Practice Speech Language Pathology |
|
1976 | Request for Verification of Certification Form (Complete and forward to the American Speech-Language Hearing Association) |
|
2829 | Malpractice Suits or Claims Form (if applicable) |
| 3085 | Application for Predetermination |
|
2252 | Convictions and Pending Charges |
|
3071 | Fax Payment Form |