Application Forms
Psychologist Application for Exam and/or Licensure (includes Temporary 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.
FD ID-9 1/21/2012
Arizona Revised Statutes §41-1080.01 provides for a waiver of fees associated with initial licensure for qualified applicants. Applicants must have family income that does not exceed 200% of the Federal Poverty Guidelines. If you believe that you qualify for the waiver, please contact the Board office at 602-542-8163 to request the Application for Waiver of Initial Licensing Fees.
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.
FD ID-10 1/21/2012
Behavior Analyst Application for Licensure
Form for individuals applying for licensure as a behavior analyst.
FD ID-13 1/21/2012
Arizona Revised Statutes §41-1080.01 provides for a waiver of fees associated with initial licensure for qualified applicants. Applicants must have family income that does not exceed 200% of the Federal Poverty Guidelines. If you believe that you qualify for the waiver, please contact the Board office at 602-542-8163 to request the Application for Waiver of Initial Licensing Fees.
License/Certificate Verification Form
FD ID-49 2/6/2013
