(a) A licensee
shall renew his or her license by October 1 of each even numbered year by
submitted to the Board a completed renewal application form.
The form shall include the following
(1) legal name;
(2) license number;
(3) current addresses and email
(5) area of
(6) principal setting of
(7) any malpractice
(8) whether denied a
professional license, had a professional license disciplined, or have pending
charges against a professional license;
(9) whether convicted of, or entered a plea
of guilty or nolo contendere to any felony or any misdemeanor involving moral
turpitude, misrepresentation or fraud in dealing with the public, or conduct
otherwise relevant to fitness to practice psychology, or a misdemeanor charge
reflecting the inability to practice psychology with due regard to the health
and safety of clients or patients;
(10) whether completed required continuing
education during the preceding two years, as required by Rule .2104 of this
(11) a complete
supervision report shall be submitted.
(c) Failure of a postal service or an
internet provider to deliver the renewal application or failure of a licensee
to submit all required information on the form by the deadline set forth in
90-270.14(a), shall not
excuse the late fee or prevent license suspension.
21 N.C. Admin.
Code 54 .2101
September 1, 1982;
Amended Eff. May 1, 1996; October 1, 1991; August
Carolina Register Volume 34, Issue 21, May 1, 2020 effective