Applications and Forms
Licensure Application
(5 pages)
Sample Supervision Letter
Online Address Change for Dispensing Optician
The Online Change of Address feature allows you to change your address of record listed in our database. To use this function, you must provide certain information for authorization.
Change of Name or Request for Duplicate License for Board of Dispensing Opticians
This PDF form maybe used to request a name change, address change or a duplicate license.
Division of Professional Licensure Complaint Form