Section 216-RICR-40-05-12.5 - Application for Licensure and FeeA. Application for licensure to practice occupational therapy in this state either by endorsement or by examination, shall be made on forms provided by the Division. Such application shall be accompanied by the following: 1. Documented evidence and supporting transcripts of qualifying credentials as set forth in § 12.4 of this Part;2. A statement from the Board of Occupational Therapy in each state in which the applicant has held or holds licensure or is otherwise subject to state regulation to be submitted to the Board of this state attesting to the licensure status of the applicant during the time period the applicant held licensure in said state;3. The results of the written national examination; and4. The non-refundable application fee as set forth in the Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health (Part 10-05-2 of this Title).216 R.I. Code R. § 216-RICR-40-05-12.5