New License / Registration Application - Identify Yourself
Failure to answer any question on this application completely and truthfully, the submission of false or misleading information, and any misrepresentation or omission of material facts may result in denial of your application. Each statement made herein is subject to verification. If an application for a license is denied, the fees for that application are forfeited to the board, and any subsequent application will require the submission of additional fees.
Basic Instructions
  • Fill out the forms as you can.
  • If you don't have all the information keep going.
  • You will be able to come back and add the missing information.

Click here to continue an existing application