Visit our Important News page to view new rules for UROLA Applicants, Senior Licenses and Electric File Certification Courses

Additional Practitioner Forms

Substitute Renewal

If you need a Substitute Renewal Form, please complete the following and return with payment:

Inactive License

If you would like to make your license inactive, please complete the following and return with payment:

Duplicate License

Each license renewal is allowed one duplicate license only.

If you would like a duplicate license, please complete the following and return with payment:

Certification Request

 

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