Va. Admin. Code tit. 18, agency 30, ch. 21, form FORMS (18VAC30-21) - FORMS (18VAC30-21)

Instructions/Checklist for Completing an Application to Practice as an Audiologist (Includes Provisional for Reentry into Practice) (rev. 3/2023)

Instructions/Checklist for Application for Provisional License to Practice as an Audiologist (New Graduates Only) (rev. 3/2023)

Instructions/Checklist for Completing an Application to Practice as a Speech-Language Pathologist (Includes Provisional for Reentry into Practice) (rev. 3/2023)

Instructions/Checklist for Completing an Application to Practice as a School Speech-Language Pathologist (rev. 3/2023)

Instructions/Checklist for Reinstatement of an Expired License (rev. 3/2023)

Instructions/Checklist for Reactivation of a Current Inactive License (rev. 3/2023)

Request for Verification of Out-of-State License (rev. 6/2020)

Employment Verification (rev. 6/2020)

Continuing Education Reporting Form (rev. 6/2020)

Continuing Education (CE) Credit Form for Volunteer Practice (rev. 6/2020)

Request for Verification of a Virginia License (rev. 6/2020)

Name/Address Change Form (rev. 6/2020)

Sponsor Certification for Volunteer Registration (rev. 6/2020)

Application for Registration to Volunteer Practice (rev. 6/2020)

Notes

Va. Admin. Code tit. 18, agency 30, ch. 21, form FORMS (18VAC30-21)

Derived From Virginia Register Volume 32, Issue 23, eff. 8/10/2016.

Statutory Authority: § 54.1-2400 of the Code of Virginia.