Fla. Admin. Code R. 64B19-11.012

Current through Reg. 50, No. 212; October 29, 2024

Section 64B19-11.012 - Application Forms

(1) All applicants for licensure pursuant to Chapter 490, F.S., shall complete and submit form DH-MQA 1187, (revised 04/22), "Application for Licensure as a Psychologist, " which is incorporated herein by reference and which may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-14597, the Board office, or at http://floridaspsychology.gov/applications/psychology-licensure-app.pdf.

(2) An applicant who is a diplomate in good standing with the American Board of Professional Psychology, Inc., and who wishes to apply for licensure by endorsement pursuant to Section 490.006(1)(a), F.S., shall submit as part of his or her application PY FORM 4.abpp (rev. 07/21), "ABPP Diplomate Verification Form, " which is incorporated herein by reference and which may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-13615, the Board office, or at https://floridapsychology.gov/applications/abpp-diploma-verification-form.pdf.

Fla. Admin. Code Ann. R. 64B19-11.012

Rulemaking Authority 456.013, 456.025, 490.004(4), 490.005 FS. Law Implemented 456.013, 456.025, 456.0635, 490.005, 490.006 FS.

New 6-25-02, Amended 5-24-09, 3-1-10, 5-23-10, 11-10-11, 6-18-12, 12-25-12, 10-28-13, 5-1-14, Amended by Florida Register Volume 40, Number 205, October 21, 2014 effective 11/2/2014, Amended by Florida Register Volume 41, Number 057, March 24, 2015 effective 4/6/2015, Amended by Florida Register Volume 41, Number 223, November 17, 2015 effective 12/3/2015, Amended by Florida Register Volume 42, Number 066, April 5, 2016 effective 4/21/2016, Amended by Florida Register Volume 42, Number 178, September 13, 2016 effective 9/27/2016, Amended by Florida Register Volume 43, Number 216, November 7, 2017 effective 11/23/2017, Amended by Florida Register Volume 45, Number 024, February 5, 2019 effective 2/18/2019, Amended by Florida Register Volume 47, Number 051, March 16, 2021 effective 3/28/2021, Amended by Florida Register Volume 47, Number 110, June 8, 2021 effective 6/21/2021, Amended by Florida Register Volume 47, Number 193, October 5, 2021 effective 10/19/2021, Amended by Florida Register Volume 48, Number 154, August 9, 2022 effective 8/22/2022.

New 6-25-02, Amended 5-24-09, 3-1-10, 5-23-10, 11-10-11, 6-18-12, 12-25-12, 10-28-13, 5-1-14, 11-2-14, 4-6-15, 12-3-15, 4-21-16, 9-27-16, 11-23-17, 2-18-19, 3-28-21, 6-21-21, 10-19-21, 8-22-22.