Hearing Instrument Fitters and Dispensers Forms

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These forms are available for download in Adobe Acrobat .pdf format. Acrobat Reader is necessary to view .pdf files. If you need to obtain a copy of this program it is available as a free download for Windows or Macintosh operating systems.

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."

Hearing Instrument Fitters and Dispensers Forms

HFD001 Hearing Instrument Fitters and Dispensers Temporary Training Permit Application (132KB PDF)

HFD002 Hearing Instrument Fitters and Dispensers Apprentice Permit Application (80KB PDF)

HFD003 Hearing Instrument Fitters and Dispensers License Application (197KB PDF)

HFD004 Hearing Instrument Fitters and Dispensers License Application for Out of State License Holders (194KB PDF)

HFD005 Hearing Instrument Fitters and Dispensers Notice of Change and Duplicate License/Permit Request (27KB PDF)

HFD006 Hearing Instrument Fitters and Dispensers Temporary Training Permit Supervised Practicum Affidavit (79KB PDF)

HFD007 Hearing Instrument Fitters and Dispensers Temporary Training Permit Supervisor’s Affidavit (40KB PDF)

HFD008 Hearing Instrument Fitters and Dispensers Apprentice Permit Supervisor’s Affidavit (21KB PDF)

HFD009 Hearing Instrument Fitters and Dispensers Extension Application for Apprentice Permit (35KB PDF)

HFD010 Hearing Instrument Fitters and Dispensers Surety Bond (29KB PDF)

HFD011 Hearing Instrument Fitters and Dispensers Extension Application for Temporary Training Permit (40KB PDF)

Other Forms

Disciplinary Action Questionnaire (98KB PDF)

Criminal History Questionnaire (63KB PDF)

Military Service Member, Military Veteran, or Military Spouse Supplemental Application (110KB PDF) - see Military Spouse Frequently Asked Questions

TDLR Complaint Sign (107KB PDF)

Request to Executive Director for Expired License Renewal (56KB PDF)

Criminal History Evaluation Letter