Fla. Admin. Code Ann. R. 61-35.025 - Board of Veterinary Medicine Departmental Forms

The following Veterinary Medicine forms can be obtained at www.myfloridalicense.com/dbpr/ or by contacting the Department of Business and Professional Regulation, 2601 Blair Stone Road, Tallahassee, FL 32399-0790, (850)487-1395:

(1) Any person desiring to apply for an examination or re-examination and licensure, shall submit a completed Form DBPR VM 1, Application for Licensure: Examination or Re-Examination, effective October 2022, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-14969.

(2) Any person desiring to apply for registration of a Veterinary Premise, shall submit a completed Form DBPR VM 2, Application for registration of a Veterinary Premise, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12382.

(3) Any person desiring to apply for licensure of a Limited-Service Veterinary Medical Practice Permit, shall submit a completed Form DBPR VM 3, Application for Licensure: Limited-Service Veterinary Medical Practice Permit, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12383.

(4) Any person desiring to apply for a Limited-Service Veterinary Medical Practice Clinic Registration, shall submit a completed Form DBPR VM 4, Application for Licensure: Limited-Service Veterinary Medical Practice Clinic Registration, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12384.

(5) Any person desiring to apply for a Limited-Service Veterinary Medical Practice Clinic Updates, shall submit a completed Form DBPR VM 5, Application for Limited-Service Veterinary Medical Practice Clinic Updates, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12385.

(6) Any person desiring to reinstate a null and void license, shall submit a completed Form DBPR VM 6, Application for Individual Licensure: Reinstate Null and Void License, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12386.

(7) Any person or organization desiring continuing education provider approval, shall submit a completed Form DBPR VM 7, Continuing Education Provider Application, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12387.

(8) Any person or organization desiring continuing education course approval, shall submit a completed Form DBPR VM8, Course Approval Application, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12388.

(9) Any person requesting to change their address or personal name, shall submit a completed Form DBPR VM9, Request for Address or Name Change, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12389.

(10) Any person desiring to apply for licensure, shall submit a completed Form DBPR VM10, Authorization for Interstate Exchange of Examination and Licensure Information, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12390.

(11) Any person applying to change the status of their license, shall submit a completed Form DBPR VM11, Change of Status Application, effective May 2023, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-15990.

(12) Any person applying to update the premise/clinic name information, shall submit a completed Form DBPR VM12, Veterinary Premise/Clinic Name Change Application, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12392.

(13) Any premise/clinic applying to update the responsible veterinarian for that veterinary premise/clinic, shall submit a completed Form DBPR VM13, Change of Responsible Veterinarian Application, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12393.

(14) Any person applying for issuance of a temporary license as a veterinarian, shall submit a completed Form DBPR VM14, Application for Veterinarian Temporary License, effective November 2020, adopted and incorporated by reference at: http://www.flrules.org/Gateway/reference.asp?No=Ref-12394.

Notes

Fla. Admin. Code Ann. R. 61-35.025

Rulemaking Authority 455.203, 455.213, 455.2179, 455.271 FS. Law Implemented 455.2179, 455.271, 474.206, 474.2125, 474.215, 474.217, 559.79 FS.

Adopted by Florida Register Volume 46, Number 229, November 24, 2020 effective 12/7/2020, Amended by Florida Register Volume 47, Number 144, July 27, 2021 effective 8/11/2021, Amended by Florida Register Volume 49, Number 011, January 18, 2023 effective 1/31/2023, Amended by Florida Register Volume 49, Number 226, November 21, 2023 effective 12/5/2023.

New 12-7-20, Amended 8-11-21, 1-31-23, 12-5-23.