Appendix 9998. FORMS (18VAC105-20)


Latest version.
  • Application Instructions for Licensure/TPA Certification (rev. 7/08).

    Form A, Application for a License to Practice Optometry or TPA Certification (rev. 7/08).

    Diagnostic Pharmaceutical Agents Endorsement Application (rev. 7/08).

    Professional Designation Application (rev. 7/08).

    Professional Designation Application Letter (rev. 7/08).

    Application for Reinstatement (rev. 7/08).

    Form B, Licensure Verification (rev. 7/08).

    Application for Registration for Volunteer Practice (9/07).

    Sponsor Certification for Volunteer Registration (9/07).

    Form C, Approved Graduate Optometric Programs (12/06).

    Form D, Certificate of Training (rev. 7/08).