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Washington Occupational Therapist License

Washington DOH — Occupational Therapy

Total Fee
$176
Processing Time
4 to 6 Weeks
Fingerprints
Required
IdentoGO / WSP
Temp License
Available
See board

What You'll Need

  • Official Transcripts — Must be sent directly from the ACOTE-accredited college or university to the DOH.
  • NBCOT Score Report — Verification of passing the OTR exam, sent directly from NBCOT. Request Scores
  • Out-of-State License Verification — If you hold or have held a license in another state, that state must send verification directly to Washington. Verification Form (PDF)
  • Jurisprudence Exam Completion — Proof of passing the Washington State Occupational Therapy Jurisprudence Exam with 100%.

How to Apply

  1. Create a Secure Access Washington (SAW) Account
    Register for a SAW account to access the Department of Health's Online Application Portal (HELMS).
    Sign Up for SAW
  2. Submit Online Application
    Log in to HELMS via SAW, add the 'Health Professional and Facility Licensing' service, and complete the Occupational Therapist application.
  3. Pay Application Fees
    Pay the non-refundable application and initial license fee of $166 (includes HEAL-WA surcharge).
  4. Request Official Transcripts
    Contact your educational institution to have official transcripts sent directly to the Washington Department of Health.
  5. Verify NBCOT Certification
    Request that the National Board for Certification in Occupational Therapy (NBCOT) send your exam scores or certification verification directly to the board.
    NBCOT Website
  6. Complete Washington Jurisprudence Exam
    Take the online, open-book Jurisprudence Exam. You must achieve a score of 100% to pass.
    Licensing Info & Exam
  7. Background Check and Fingerprinting
    Complete the required background check. Out-of-state applicants may be required to submit fingerprints via IdentoGO after receiving instructions from the DOH.
    Fingerprint Info
Total Fee
$176
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 Out-of-State License
    Ensure your current license in another jurisdiction is active and in good standing.
  2. Submit Endorsement Application
    Complete the standard application via the HELMS portal, selecting the endorsement path.
  3. Submit License Verifications
    Request official verification from every state where you have ever held a healthcare license.
  4. Pass Washington Jurisprudence Exam
    All endorsement applicants must pass the state-specific laws and rules exam.
Total Fee
$0
Renewal Cycle
Every 2 years
Compact
No
Board
Washington DOH — Occupational Therapy

Keeping Your License Active

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

Fees

ItemAmount
Application$141
Endorsement application$141
Fingerprint check$35.50
Temporary permitSee board

Slow Downs

Missing Out-of-State Verifications
Waiting for other state boards to send license verifications is the most frequent cause of delay. Request these early.
Incomplete Transcripts
Transcripts must be official and sent directly from the school; student copies are not accepted.
Jurisprudence Exam Score
Failure to achieve a perfect 100% score on the open-book exam will prevent license issuance.
Fingerprint Processing
Out-of-state background checks can take several weeks. Do not schedule fingerprinting until instructed by the DOH.

Questions

How long does the application process take?
The typical processing time is 6 to 8 weeks once all documents and fees are received.
What are the continuing education (CE) requirements?
Occupational Therapists must complete 24 hours of continuing competency every two years, including 3 hours of suicide assessment training every 6 years and 2 hours of health equity training every 4 years.
Can I get a temporary permit while waiting for my exam results?
Yes, a limited permit may be issued to applicants who have completed their education and are waiting to take the NBCOT exam, provided they work under supervision.
When does my license expire?
Your license expires every two years on your birthday.

Board Info

Washington DOH — Occupational Therapy
Sources
State statutes
Last verified 2026-02-25