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). You must answer all questions and provide all information requested unless otherwise indicated. Failure to accurately complete all required parts of the application will delay its review. Additional forms below are required based on the licensure requirements of the profession. Do not use Form 1 to renew your existing license.
Continuing Your Application
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. You will need your Application ID, Social Security Number, and Date of Birth.
Upload Additional Documentation
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 and Date of Birth.
Change Address or Name - You are required to notify us within 30 days of any address or name changes. Please read the instructions to request this change.