Hearing Instrument Fitters and Dispensers Forms

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)


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


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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."