![]() ![]() The Office of the Professions will notĪccept this form if submitted by the applicant. Please read the instructions to request this change.įorm 2 - Certification of Professional Education ( 18 KB) This form must be submitted directly by the educational You will need your Application ID and Date of Birth.Ĭhange Address or Name - You are required to notify us within 30 days of any address or name changes. If you have already completed an application, but you have additional documents or files to include in your previous submission, use this link to upload additional documentation. You will need your Application ID, Social Security Number, and Date of Birth. If you have started an application within the past 30 days, and have not yet completed it, you can use this link to continue your application. Do not use Form 1 to renew your existing license. Additional forms below are required based on the licensure requirements of the profession. Failure to accurately complete all required parts of the application will delay its review. You must answer all questions and provide all information requested unless otherwise indicated. #Clinical laboratory technician registration#Online Form 1 - Application for Certified Clinical Laboratory Technician All applicants for licensure must initially submit Form 1 along with the appropriate licensure and first registration fee ($371 for Clinical Laboratory Technologist, $263 for Certified Clinical Laboratory Technician). ![]() Online Form 1 - Application for Clinical Laboratory Technologist You should also keep a copy of all application forms submitted. This is for your reference and should not be submitted with your application forms. Applicant Checklist: You may print and keep this clinical lab technologist checklist or this clinical laboratory technician checklist as a reminder of what forms you need to file. To renew your registration online, visit If your registration has lapsed for longer than 4 months, submit a Delayed Registration Application. #Clinical laboratory technician license#To practice in New York State, your professional license must be registered. A New York State professional license is valid for life unless it is revoked, annulled, or suspended by the Board of Regents. License Application Forms Clinical Laboratory Technologist & Technician Important Notice: DO NOT use Form 1 if you are already licensed in this profession in New York State. ![]()
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