License Conversion Form

All sections of the form are mandatory and must be completed. Incomplete forms will not be accepted and will be denied. If you wish to convert a retired license, please contact the board office at (775) 746-4101 for payment instructions.


OT Convert Inactive Status to Active Status Fee: $150.00	OTA Convert Inactive Status to Active Status Fee: $100.00
OT Convert Temporary License Fee: $150.00	OTA Convert Temporary License Fee: $125.00
OT Convert Provisional License Fee: $150.00	OTA Convert Provisional License Fee: $125.00

While you are in the online form please do not use the back button in your browser. If at any time you wish to exit please select the "Exit" button located at the bottom of the page.

Please enter your login information below. If you have not set up your password yet, you will need to prior to logging into the form.
To set up your password please visit the Account Registration.

Your Username is the first letter of your first name and your full last name, all lower case and no spaces.


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