Follow the steps to successfully complete your application online.

1. Press the 'Get Form' button to access the application form and open it in your document editor.
2. Complete Section A regarding fees. Indicate if you qualify for a fee waiver based on age, income, or military status, or indicate the required fee for those who do not qualify.
3. In Section B, fill out your personal information, including your full name, address, and contact information.
4. Proceed to Section C and disclose any misdemeanor or felony convictions. Provide detailed explanations where necessary and attach supporting documentation.
5. Complete Section D by indicating the basis for your certification, whether by examination, certification in another state, or as an unlicensed applicant.
6. In Section E, request your official transcript from your educational institution to be mailed directly to the Licensure Unit.
7. Review Section F and enter information about your Physical Therapist Assistant program completed, including the college name and graduation date.
8. For those with certifications from another jurisdiction, fill out Section G and submit required verification forms.
9. Finish your application in Section H by confirming if you have passed the required National Physical Therapist Assistant Examination and completing all necessary attestations.
10. Once your application is complete, submit it along with any required documents and the appropriate fee to the Licensure Unit.
11. After submission, keep a copy of your application for your records and wait for confirmation of receipt and any additional instructions from the Licensure Unit.
12. You can save changes, download, print, or share the application according to your needs.

Begin your online application for certification as a Physical Therapist Assistant today and take the first step towards your professional career.