Online Form 1 - Application for Licensure
All applicants for licensure must initially submit Form 1 along with the $103 licensure and first registration fee. You must answer all questions and provide all information requested unless otherwise indicated. Failure to accurately complete all required parts of the application will delay its review. Additional forms below are required based on the licensure requirements of the profession. Do not use Form 1 to renew your existing license.
Continuing Your Application
If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID, Social Security Number, and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Change Address or Name - You are required to notify us within 30 days of any address or name changes. Please read the instructions to request this change.
Form 2 - Certification of Professional Education
This form must be submitted directly by the educational institution(s) you attended. The Office of the Professions will not accept this form if submitted by the applicant.
- Section I: Complete this section before sending the entire form to your school. Be sure to sign and date item 9.
- Section II: The Registrar must complete this section and return all pages of the form in an official school envelope with requested documents directly to the Office of the Professions at the address at the end of the form.
Note: If you graduated from a high school in the United States, your professional school will attest to your high school/secondary education on this form. No further documentation is normally required.
However, if you completed your high school/secondary school outside the United States, you must submit a copy of your high school diploma in the original language attached to your Form 1.
Form 3 - Verification of Other Professional Licensure/Certification
Complete this form if you hold, or ever held, a license or certificate to practice any profession* in any jurisdiction.
This form must be submitted directly by the licensing/certifying authority. The Office of the Professions will not accept this form if submitted by the applicant.
- Section I: Complete this section before sending the entire form to the licensing/certifying authority of each jurisdiction in which you are or have been licensed/certified. Be sure to sign and date item 8.
- Section II: The licensing/certifying authority must complete this section, sign, date and return both pages of the form directly to the Office of the Professions at the address at the end of the form.
NOTE: A Form 3 is not required for licenses/certificates issued by the New York State Education Department. Also, If the certification/verification documentation provided by a U.S. jurisdictions contains the same information requested in the Form 3, completion of a Form 3 for that jurisdiction is not necessary. For certification/verification documentation that does not contain the same information, a Form 3 will need to be completed for that jurisdiction..
*Profession is defined as professional titles licensed under New York State Education Law.
Online Form 5 - Application for Limited Permit
All applicants for a limited permit must initially submit Form 5 along with the $40 limited permit fee. You must also submit a Form 5CS - Certification of Supervisor for Limited Permit along with your application.
Continuing Your Application
If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. You will need your Application ID and Date of Birth.
Upload Additional Documentation
If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID and Date of Birth.
Changes to Supervisors and/or Settings
If you change supervisors and/or settings, or you have to add or remove a supervisor or setting, after a permit is issued, you must obtain an amended permit using the Limited Permit Change Form. After changes are processed you will receive an amended permit. A fee is not required for an amended permit issued as a result of a change in supervisor or setting. You must also submit a Form 5CS - Certification of Supervisor for Limited Permit for each new supervisor you are adding (see Upload Additional Documentation above).
Form 5CS - Certification of Supervisor for Limited Permit
This form is not for all applicants. Use this form ONLY if you are applying/have applied for a New York State Limited Permit as a Registered Dental Assistant online
- Section I: Complete this section.
- Section II: Your supervisor must complete this section before you can submit it to the Office of the Professions at the appropriate address at the end of the form. It is your responsibility to ensure your supervisor fully completes Section II. Failure to complete this form will delay its review.
Last Updated: December 1, 2021