Application and Instructions for Renewal of a Temporary License: New Graduate
Print these instructions as a checklist.(PDF: 2 pages)
You can only renew a temporary license once.
You will need to start this process 15-30 days before your temporary license expires.
Complete these steps to renew your Temporary License: New Graduate.
INSTRUCTIONS:
- Print these instructions and use them as a check list.
- Print the application form using this link:
Application for Temporary License: New Graduate
(Waiver and Release form included) (File size 11.9 KB / 3 pages)
- Complete, sign and date Part I of the application.
- Complete, sign and date Waiver Authorization & Release form.
- The occupational therapist that will be your supervisor must complete and sign Part II of the application form. If you have additional supervisors, each supervisor must complete page 2 of the temporary application.
- Make out a check or money order for $50.00 payable to: Treasurer, State of Minnesota.
All fees are non-refundable
- Make a copy of the completed application for your records.
- Mail the completed, original temporary application and fees to:
Minnesota Department of Health
Note: Once MDH has received your completed application and fees, your check or money order is deposited and the application reviewed and processed. Issuance of your temporary license may take 3-7 business days after all documents are received. If you provided an employer fax number on your application, your approval will be faxed to your work place on the day of issuance. A copy of the approval will also be mailed to you.
Health Occupations Program
PO Box 64882
St. Paul, MN 55164-0882
- To check if your credential has been renewed you can go to our website at:
http://pqc.health.state.mn.us/hopVerify/loginAction.do
Your name will appear on the website the day after your credential has been issued.
- After you have mailed in your application, if you need to add additional work locations,
you will need to complete a new temporary application. If you are just adding an additional supervisor to your current work location, you and the new supervisor need to complete page 2 and you do not need to send in a fee.
Questions: Please call Kim Ruberg at 651-201-3725 or Email me at kimberly.ruberg@state.mn.us