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How do I fill this out?

To successfully fill out this form, start by gathering your continuing education certificates. Ensure that all required information is accurate and up-to-date. Finally, submit your application and any applicable fees as instructed.

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How to fill out the License Renewal Application Instructions and Information?

  1. 1

    Gather all required continuing education documentation.

  2. 2

    Fill out the application form with accurate information.

  3. 3

    Attach payment or check for the renewal fee.

  4. 4

    Submit your application online or by mail.

  5. 5

    Keep copies of your application and CE documentation for your records.

Who needs the License Renewal Application Instructions and Information?

  1. 1

    Licensed associates looking to renew their behavioral sciences license.

  2. 2

    Professionals seeking to maintain their active status in the field.

  3. 3

    Individuals whose licenses are expiring soon and need to adhere to renewal guidelines.

  4. 4

    Those who have completed ongoing education courses and wish to update their credentials.

  5. 5

    Licensees who have undergone disciplinary actions and need to report on their application.

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What are the instructions for submitting this form?

To submit this form, complete it thoroughly and ensure all required information is accurate. You may submit the application online at www.breeze.ca.gov or mail it to the Board of Behavioral Sciences at 1625 North Market Blvd., Suite S200, Sacramento, CA 95834. Remember to include the appropriate fee and, if applicable, the Notification of Name Change form.

What are the important dates for this form in 2024 and 2025?

Important dates for license renewal include submission deadlines prior to expiration and mandated continuing education timelines. Be aware of these dates to avoid late fees and maintain your active status.

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What is the purpose of this form?

The purpose of this form is to facilitate the renewal process for licenses issued by the Board of Behavioral Sciences. It ensures that licensed professionals meet continuing education requirements and remain compliant with state regulations. Filling out this form accurately is essential for maintaining legal practice in the behavioral sciences field.

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Tell me about this form and its components and fields line-by-line.

This form contains several key fields that licensees must complete to apply for renewal.
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  • 1. Personal Information: Includes your name, address, and contact details.
  • 2. License Number: Your unique identification number associated with your license.
  • 3. CE Hours Completed: Track the number of continuing education hours you've obtained.
  • 4. Payment Information: Details regarding the fees for the renewal.
  • 5. Signature: An area for you to sign and certify the accuracy of the application.

What happens if I fail to submit this form?

If you fail to submit this form on time, your license will be considered expired, leading to potential legal ramifications. You will be unable to practice your profession until successfully renewing your license. Moreover, your failure may subject you to additional fines and requirements to reinstate your license.

  • Expired License: Practicing with an expired license can lead to disciplinary action.
  • Late Fees: Submit late applications are subject to higher fees.
  • Compliance Issues: Failure to comply with CE requirements might result in a citation.

How do I know when to use this form?

You should use this form when your behavioral sciences license is nearing its expiration date. This ensures that you fulfill all necessary continuing education and application submission requirements on time. Timely submission will maintain your active license status.
fields
  • 1. Renewing Expired License: Use this form if your license has already expired.
  • 2. Updating Personal Information: Utilize this form to notify the Board of any changes in your personal details.
  • 3. Compliance Submission: Follow this process to comply with the Board's requirements for active status.

Frequently Asked Question

What is the primary purpose of this form?

This form is used to apply for the renewal of your behavioral sciences license.

Do I need to submit proof of continuing education?

You do not need to submit proof, but retain it for audit purposes.

How can I confirm my application was received?

Mail your application using a method that includes tracking for confirmation.

What if I miss the renewal deadline?

You may incur late fees and your license will be considered expired.

Where can I find renewal fee information?

All fee information is outlined in the instructions section of the application.

Can I renew my license online?

Yes, you can renew online at www.breeze.ca.gov for faster processing.

What happens if my application is not processed in time?

You should not practice until your license is renewed; otherwise it will be deemed expired.

Are there specific CE requirements for renewal?

Yes, there are specific continuing education hours required, which vary by license type.

How long should I keep my CE certificates?

You must keep your certificates for at least two years from the date of renewal.

What should I do if I change my name?

You must submit a 'Notification of Name Change' form with your application.

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License Renewal Application Instructions and Information

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