Forms and Applications

Provider Registration

New Provider Registration Application Form (PDF)

Provider Registration Renewal Application Form (PDF)

Course Registration

New Course Registration Application Form (PDF)

Forms Policy

Please note the following policy regarding the filing of forms which collect a person's individual information:
"An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Department) is entitled to the following from the Department:
(1) to be informed about the information that the Department collects about the individual, upon the request of the individual and subject to a few exceptions;
(2) to receive and review the information, under Sections 552.021 and 552.023 of the Texas Government Code; and
(3) to have the Department correct information about the individual that is incorrect, under Section 559.004 of the Texas Government Code."