BA/Provisional BA forms

Application Instructions for Behavior Analysts or Provisional Behavior Analysts
Application for Licensure as a Behavior Analyst or Provisional Behavior Analyst (375-1143)
Social Security Number Disclosure Notice (375-0823)
Verification of Licensure (375-0827)
Proof of Supervision (375-1137)
Applicant Release (375-1134)
Request for Extension of Provisional License (375-1136)
Change in Supervisor or Setting of Supervised Licensee (375-1146)