Applications & forms
Access all the applications and forms you need.
Approved Provider Application V 1.5: CD Option (doc)
Before downloading this document, click here to access additional instructions. The downloadable application includes the option of submitting your application on CD to expedite processing. Please read the instructions carefully and refresh/reload your web browser after downloading the document..
If you prefer a hard copy version, order one online or call 1-888-802-6600 and ask that Publication #688 be sent to you.
Mail your completed application and payment to:
NCBTMB
Attn: CE/AP Department
1901 South Meyers Road, Suite 240
Oakbrook Terrace, IL 60181
Please indicate whether your submission is Version 1.4 or 1.5.
In-cycle Course Submission Forms
Only providers with an expiration date of 2008, 2009 or 2010 can submit in-cycle continuing education courses. Providers with an expiration date in 2007 or prior must submit a renewal application. Click on the correct interactive form(s) below to add new continuing education courses during your approval cycle. Online options allow for quicker turnaround time.
Online option
Live Seminar In-Cycle Online Form
Mail-in options
Live Seminar In-Cycle Instructions & Mail-In Form
Home Study In-Cycle Pilot Instructions & Mail-In Form
Home Study In-Cycle Non-Pilot Instructions & Mail-In Form
New Instructors Biographical Form (pdf)
(Organization status only) Submitting biographical forms for new instructors during an in-cycle period is not required. We recommend that you keep a form on file for submission with your next renewal. If audited during your in-cycle period, NCBTMB may request this form.
Co-Providership and Traveling Provider Form (pdf)
If you are co-sponsoring a course with another provider or are a traveling provider, complete this interactive form and submit it.
Mailing Label Request (pdf)
Complete this interactive form if you are interested in purchasing a mailing list of NCBTMB practitioners. Then print it and send it to NCBTMB (address provided on form).
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