Supervision and Address Change Forms

The Board has provided forms for your convenience to be used for changes you may encounter with employers, employment, supervision, address, or name. You may download these forms here. Just click on the appropriate form you wish to download.

Please note that pursuant to Rule 21 NCAC 38 .0401 "All licensees shall notify the Board in writing of each change of name, residence, trade name, business address or mailing address within ten days of such change."

OT/OTA - Information Update Name/Address/Phone/Employment Download
OT – Update Supervision or Employment Download
OTA- Update Supervision or Employment Download


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