Forms

Wyoming Board of Hearing Aid Specialists

Click on the links below to open the form and then download or print the form from the file menu to fill the document out. You will not be given editor rights for any document.

Application Forms

Licensure by Examination

For those not licensed to practice in another jurisdiction or whose jurisdiction's requirements are not as stringent as Wyoming

Licensure by Endorsement

For those licensed to practice in another jurisdiction with licensure requirements as stringent as Wyoming

Relicensure

For those whose prior Wyoming license lapsed within previous two (2) years

Reinstatement

For those seeking reinstatement of a license that was revoked, surrendered, suspended, conditioned, or restricted by Wyoming

Other Forms

License Verification Request

From Wyoming to Another State

Verification Request

From Another State to Wyoming

Name/Address Change Request

To change your name or address or both

Replacement or Duplicate Document Request

To request new license documents

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