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

HFD-LIC-001 — Temporary Training Permit Application (PDF)

HFD-LIC-006 — Temporary Training Permit Supervised Practicum Affidavit (PDF)

HFD-LIC-007 - Temporary Training Permit Supervisor’s Affidavit (PDF)

HFD-LIC-011 - Extension Application for Temporary Training Permit (PDF)

Apprentice Permit

HFD-LIC-002 — Apprentice Permit Application (PDF)

HFD-LIC-008 - Apprentice Permit Supervisor’s Affidavit (PDF)

HFD-LIC-009 - Extension Application for Apprentice Permit (PDF)

License Application

HFD-LIC-003 — License Application (PDF)

HFD-LIC-004 — License Application for Out of State License Holders (PDF)

HFD-LIC-005 — Notice of Change and Duplicate License/Permit Request (PDF)

HFD-LIC-010 - Surety Bond (PDF)

Social Security Number Status Certification

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