Make out checks to ECPTOTE and mail to: ECPTOTE, 333 Guadalupe St. #2-510, Austin, TX 78701-3942.
Note: Changes that went into effect June 1, 2019 removed certain requirements for OTAs with a regular license, including removing the requirement that OTAs with a regular license maintain a supervision log and that they submit the OTA supervision form and information regarding changes in supervisor. Refer to the "Proposed/Adopted" tab from the OT Act and Rules page for further information.
Consumer Sign (pdf)
Employment History Form (pdf)
Mentorship Agreement (pdf): This is an optional form that may be used by those completing a mentorship experience for CE.
Re-exam Form (pdf)
Replace a License (includes with Name Change) (pdf)
SSN Statement (pdf)
Temporary OTA Licensee Supervision Log (pdf) This form is to be used by temporary OTA licensees only.
Temporary Occupational Therapist Licensee Supervision Record (pdf): To be used by occupational therapists with a temporary license
Temporary Supervision Form (pdf): This form is to be used by temporary licensees or those applying for a temporary license. This form may not be faxed or sent by email.