Applicons

FORMS & APPLICATIONS

The deadline to submit applications is 4/23/2021. There are 6 days left before the deadline. If you have further questions about SYEP, contact NYC Community Connect at (800) 246-4646. You need to enable JavaScript to run this app. You need to enable JavaScript to run this app. AITS web application that allows users to enter configuration data that can then be used by other applications. SACS This is a Banner Finance bolt-on to recategorize and report information back to the State of Illinois on state appropriation funds. The online application allows health care professionals to apply for an initial license and complete and update the practitioner profile that is mandatory for Advanced Practice Registered Nurses. You will upload the documents required to complete your initial application. Choosing an Interactive Application allows you to enter information directly onto fillable forms, save to a personal computer for your records, and submit the completed application to the address provided on the form or submit electronically (by e-mail or FAX if allowed by the Board section).

Most Requested Forms| Forms Instructions | Board-Specific Forms & Applications

• Just need to update your email address?Go here
• MyVirginia (powered by PayIt) offers a quick and easy way to request certification of an individual or business license issued by DPOR. Visit myvirginia.dpor.virginia.gov to submit a request online in just a few minutes!

Applications International

Choosing a Form Type

INTERACTIVE

Choosing an Interactive Application allows you to enter information directly onto fillable forms, save to a personal computer for your records, and submit the completed application to the address provided on the form or submit electronically (by e-mail or FAX if allowed by the Board section).

• Fillable PDFs do not open correctly in some Internet browsers. If you need help with a 'Please wait . . .' message, go here.

Ppp Loan Applications

STATIC

Choosing Static Applications only allows users to print the PDF and complete the form by hand, resulting in the slowest processing. The advantage is that you can access them on a variety of electronic devices with minimal difficulty.

Most Requested Forms

EMAIL ADDRESS Change Form

MAILING ADDRESS Change Forms

• Many Boards allow you to update your ADDRESS using Online Services, so log in to your personal profile to see if this is an option for your license type. The alternative is to complete, print, sign, and submit an Address Change Form by mail.
• Unless updated online, all Address Change Forms must be received by the Board in writing. When providing a post office box as the mailing address, it must be accompanied by the physical address.

NAME Change Forms

Criminal Conviction Reporting Form

• for applicants and existing DPOR license holders to report a felony/misdemeanor conviction from any jurisdiction
• to request an Informal Fact-Finding (IFF) Conference, use Criminal Conviction-Supplemental Form

Disciplinary Action Reporting Form

• for applicants and existing DPOR license holders to report disciplinary action by a regulatory board in any jurisdiction

Adverse Financial History Reporting Form

• for applicants (only) to report outstanding debts, judgments, liens, or tax obligations; past-due/unpaid bills, claims, or suits; defaults on bonds; or pending/past bankruptcies

Certification Request Form

• documentation of your Virginia license/certificate status
• MyVirginia, powered by PayIt, offers a quick and easy way to request certification of an individual or business license issued by DPOR. Visit myvirginia.dpor.virginia.gov to submit a request online in just a few minutes!

Transcript Request Form

• a court admissible document either incorporating the license history or stating that no license was found based on the information provided

Credit Card Payment Form

Complaint Forms

Forms Instructions

DPOR Boards only accept the most recent versions of the documents provided. DPOR Boards are not responsible for processing delays associated with forms that do not conform to this requirement.
DPOR forms and applications are offered in Adobe Reader as either a static PDF or an interactive ('fillable') PDF.Both types of PDFs must be signed and submitted to the address provided or may be submitted electronically (if allowed by the Board section).

• Static PDFs allow you to open and print the document to hand-write information onto the form.
• Interactive PDFs allow you to type your information into the form and save a copy on your personal computer.

Need Help?

1. Make sure to open Interactive PDF files using Adobe Reader, not Acrobat. Adobe Acrobat software (if already installed on your computer) often causes errors when using Interactive PDFs.
2. Learn about fixing the 'Please wait . . .' error message.

Troubleshooting Resources

Employment Applications Printable

• Fixing the'Please wait . . .' error message.
• Other Common Problems (viewing, filling in a PDF, etc.)
  • Visit http://helpx.adobe.com/reader.html
• Printing Errors
  • Visit http://helpx.adobe.com/acrobat/kb/troubleshoot-pdf-printing-acrobat-reader.html

Board-Specific Forms & Applications

Applications

Visit the appropriate Board page for forms and applications specific to each license type:

Please choose from the following: