Board of Occupational Therapy Practice - Applications & Forms

Effective March 1, 2019, the Office of Professional and Occupational Regulation (OPOR) will no longer issue paper license verifications. License verifications are available, free of charge, on OPOR’s official database, https://www.pfr.maine.gov/almsonline/almsquery/welcome.aspx?board=4440. This database is updated in real time as changes occur. The Office of Professional and Occupational Regulation considers this information to be a secure, primary source for license verification.

Applications

Occupational Therapist (PDF)
Temporary Occupational Therapist (PDF)
Occupational Therapy Assistant (PDF)
Temporary Occupational Therapy Assistant (PDF)
Social Security Number Affidavit (PDF)

Forms

Change of Supervision Form for Licensed OA (PDF)
Verification of Supervision Form for Initial OA Licensure (PDF)
Credit Card Authorization Form (PDF) - To authorize payment of fees by Visa or MasterCard.

Credit

Information

Contact

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PFR Agencies

Professional Licensing
Consumer Credit Protection
Insurance Regulation
Financial Institutions
Securities & Investment Regulation