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Nebraska Occupational Therapist License

Nebraska DHHS — Occupational Therapy

Total Fee
$175
Processing Time
4 to 6 Weeks
Fingerprints
Required
IdentoGO (IDEMIA)
Temp License
Available
See board

What You'll Need

  • Official Transcripts — Must be sent directly from the issuing institution to the DHHS Licensure Unit.
  • NBCOT Score Report — Official verification of passing the OTR exam sent directly from NBCOT. NBCOT
  • Proof of Citizenship/Lawful Presence — A photocopy of a birth certificate, unexpired passport, or other approved document.
  • Fingerprint Cards/Live Scan Receipt — Documentation that the background check process has been initiated with the Nebraska State Patrol.
  • Verification of Other Licenses — If you hold or have held a license in another state, you must request official verification from that state board.

How to Apply

  1. Pass the NBCOT Exam
    Register for and pass the Occupational Therapist Registered (OTR) examination through the National Board for Certification in Occupational Therapy.
    NBCOT Website
  2. Complete the Application Form
    Download and complete the Nebraska Occupational Therapist application. This is a fillable PDF that must be printed and physically signed.
    Download Application
  3. Submit Fingerprints
    Complete a criminal background check. Live Scan is preferred at Nebraska State Patrol locations. If out-of-state, request fingerprint cards from the Licensure Unit.
    Fingerprint Instructions
  4. Request Official Transcripts
    Have your educational institution send official transcripts directly to the Nebraska DHHS Licensure Unit.
  5. Submit NBCOT Score Report
    Request that NBCOT send an official score report or verification of certification directly to the Nebraska Board.
  6. Pay Licensing Fees
    Include a check or money order for the application fee ($120 standard, or $30 if applying Feb-July of even years).
  7. Mail Application Package
    Send the completed application, fee, and supporting documents to: DHHS Licensure Unit, PO Box 94986, Lincoln, NE 68509-4986.
Total Fee
$175
Processing Time
4 to 6 Weeks
Fingerprints
Required
Temp License
Available

Transfer License

Requirements
Occupational therapists licensed in another state can often apply via endorsement by providing license verification and current NBCOT certification.
Apply to transfer

Steps

  1. Verify OT Compact Eligibility
    Nebraska is a member of the OT Compact. Check if you can practice via a Compact Privilege if your home state is also a member.
    OT Compact
  2. Submit Standard Application
    Use the standard application form and complete Section D for Licensure Information from other states.
    Download Application
  3. Request License Verifications
    Contact every state where you have held a health-related license and have them send verification directly to Nebraska.
  4. Provide Proof of Practice
    If you have not practiced in the last 3 years, you may need to provide proof of 50 hours of continuing education.
Total Fee
$0
Renewal Cycle
Every 2 years
Compact
No
Board
Nebraska DHHS — Occupational Therapy

Keeping Your License Active

Nebraska Occupational Therapist licenses renew Every 2 years. Contact the Nebraska DHHS — Occupational Therapy for continuing education requirements and renewal deadlines.

Renew on the board site

Fees

ItemAmount
Application$175
Endorsement application$175
Fingerprint check$35-$50 (varies by state)
Temporary permitSee board

Slow Downs

Incomplete Background Checks
The Nebraska State Patrol will not process fingerprints until the DHHS has received your application and the background check fee is paid.
Incorrect Fee Amount
Fees change based on the month and year of application. Submitting the wrong amount will result in the application being returned.
Missing Transcripts
Transcripts must come directly from the school; applicant-submitted copies are not considered official.

Questions

How long does the licensing process take?
Once all documentation is received, the typical processing time is 1 to 2 weeks.
Do I need a separate certification for Physical Agent Modalities (PAMs)?
Yes, Nebraska requires a separate application and certification to administer superficial thermal, deep thermal, or electrotherapeutic agents.
When does my license expire?
All Nebraska OT licenses expire on August 1st of even-numbered years.
What are the continuing education requirements?
Occupational Therapists must complete 20 hours of acceptable CE during each 24-month renewal period.
Can I get a temporary license?
Yes, if you have completed your education and are waiting to take the NBCOT exam, you can apply for a temporary license to practice under supervision.

Board Info

Nebraska DHHS — Occupational Therapy
Sources
Nebraska DHHS — Occupational Therapy
Last verified 2026-02-25