Hearing Instrument Fitters and Dispensers

Hearing Instrument Fitters and Dispensers Forms

On this page:

Temporary Training Permit
Apprentice Permit
License Application
Continuing Education Providers
Other Forms

Apply or renew your fitter-dispenser license or an apprentice permit online.

Temporary Training Permit

Temporary Training Permit Application (PDF)

Temporary Training Permit Supervised Practicum Affidavit (PDF)

Temporary Training Permit Supervisor’s Affidavit (PDF)

Extension Application for Temporary Training Permit (PDF)

Apprentice Permit

Apprentice Permit Application (PDF)

Apprentice Permit Supervisor’s Affidavit (PDF)

Extension Application for Apprentice Permit (PDF)

License Application

License Application (PDF)

License Application for Out of State License Holders (PDF)

Notice of Change and Duplicate License/Permit Request (PDF)

Surety Bond (PDF)

Occupational License Application Claiming to Have No Social Security Number

Continuing Education Providers

Continuing Education Provider Application (PDF)

Continuing Education Course Approval (PDF)

Other Forms

Disciplinary Action Questionnaire (PDF)

Criminal History Questionnaire (PDF)

Military Service Member, Military Veteran, or Military Spouse Supplemental Application (PDF) - see Military Spouse Frequently Asked Questions

TDLR Complaint Sign (PDF)

Request to Executive Director for Expired License Renewal (PDF)

Criminal History Evaluation Letter

Expert Witness Application