Get Slp/a License Reinstatement Application And Instructions - Kansas ...

The SLP/A License Reinstatement Application allows individuals to reinstate their licenses in Speech-Language Pathology or Audiology in Kansas. This guide provides clear steps to help you complete the application process efficiently and successfully.

Follow the steps to complete your application online.

1. Press the ‘Get Form’ button to obtain the application form and access it in the editor.
2. Fill in your personal details, including your name, address, Social Security number, work phone, and home phone. Ensure that all provided information is accurate, as it is essential for processing your application.
3. In the section for continuing education clock hours, document your last licensure period in Kansas. Include the range of dates, program approval numbers, program titles, dates of attendance, and total clock hours for each program. You must submit verification of attendance for all programs listed.
4. Report any disciplinary actions as required by Kansas law. Indicate whether any licenses have been denied, suspended, or revoked. If so, provide a detailed explanation.
5. Disclose any criminal convictions. If applicable, provide the date, location, and nature of the offense.
6. Review the application thoroughly to ensure all information is complete and accurate. Remember that the application fee is non-refundable.
7. Sign the application and have your signature notarized as required. Ensure this is completed before submission.
8. Submit the completed application, supporting documents, and a payment of the reinstatement fee to the designated address provided in the instructions.

Begin your application process online today to reinstate your Speech-Language Pathology or Audiology license.