Learn the steps to licensure

Core licensing requirements

Obtaining a state license to practice occupational therapy can seem daunting and even scary at first, but the more you learn about the process and prepare yourself, the easier it will be. The infographic above summarizes the general process and "core" licensing requirements:

• Graduate from an ACOTE®-accredited OT or OTA educational program.
• Complete your fieldwork requirements.
• Apply for and Pass the NBCOT® Certification Examination. For additional information regarding the examination, including ordering Score Transfers and/or Eligibility Confirmation Notices, refer to the NBCOT website. You will need to set up an account to access NBCOT services and resources.
• Complete an initial license application and pay a fee for each state or jurisdiction in which you wish to practice or hold a license.

Each state that regulates occupational therapy may have additional requirements besides these though, so make sure you know what is required. Additional requirements can include:

• Completion of a state and/or federal criminal background check.
• Passage of an exam on the state’s law and regulations/rules (sometimes called a state law or state jurisprudence exam).
• An official final transcript from your OT or OTA educational program.

This informational webinar has additional information about the state licensure process.

It is your responsibility to know what the requirements are in each state to obtain a license. Licensure requirements are set forth in state law and regulation and may not be changed without going through a lengthy process and may not be waived unless for specific or extraordinary circumstances.

Practicing on a temporary license or limited permit

Many, but not all, states allow recent occupational therapy graduates to practice on a temporary license or limited permit under specific supervision requirements while waiting to receive the results of the certification exam. If you fail the exam, in many states, you will lose your temporary license or permit and will not be allowed to continue to practice occupational therapy until you pass the exam and obtain a permanent license.

Temporary licenses or limited permits are only in effect for a specific amount of time (which varies from state to state) and in many states, cannot be renewed once it lapses. Eligibility requirements and application processes vary, so consult the state where you want to apply for details on obtaining a temporary license or limited permit.