Radiologic Technology Licensure Forms
Fill out the appropriate application or renewal form, electronically if available. Sign the form where appropriate and mail it along with any applicable fee to the address indicated on the form. Other forms are as indicated below.
|Application for Licensure|
|Limited Scope Examination Application - Effective January 1, 2015|
|Temporary Application for Licensure|
|License Renewal Form|
|Inactive-Retired Status Request Form|