Application & Renewal Forms

PSYCHOLOGIST APPLICATION FOR EXAM & LICENSURE: Form for applicants who have conferred their doctoral degree, complete 1500 hours supervised internship experience and are seeking approval to take the Examination for Professional Practice in Psychology (EPPP). In addition, please use this form if your are already licensed in another state and wish to become licensed in Arizona.

PSYCHOLOGIST APPLICATION FOR LICENSURE BY CREDENTIAL: Form for psychologists who hold a: CPQ, NRHSPP, or ABPP credential, and who are licensed in good standing in another state or Canadian province for at least 5 years.

2011-2013 PSYCHOLOGIST APPLICATION FOR LICENSE RENEWAL FORMS:(pdf) - Acrobat reader is needed to view License Renewal form for all Arizona licensees. Please download the form, read/review the instructions, mail in COMPLETED renewal form, including the Citizenship Verification Form, along with your associated fee to the Board office. DO NOT SEND PROOF OF CE AT THIS TIME!

BEHAVIOR ANALYST APPLICATION FOR LICENSURE BY CERTIFICATION:  Form for individuals who have been certified by the Behavior Analyst Certification Board for a period of not less than two years and whose certification is in good standing.

BEHAVIOR ANALYST APPLICATION FOR LICENSURE: Form for individuals applying for licensure as a behavior analyst.

2011-2013 BEHAVIOR ANALYST APPLICATION FOR LICENSE RENEWAL FORMS:(pdf) - Acrobat reader is needed to view License Renewal form for all Arizona licensees. Please download the form, read/review the instructions, mail in COMPLETED renewal form, including the Citizenship Verification Form, along with your associated fee to the Board office.