Applications and Forms
- Apply online
-
Getting started
Online Application Instructions
Online application instructions are on our website.
Once you have completed the process, you will find your pending credential number on Provider Credential Search. Refer to this credential number any time you contact the Department of Health or submit paperwork.
- Apply on paper
-
The following forms are required for completing the application process. Please download and print forms.
- License Application (PDF)
- Expired License Reactivation (PDF)
- Audiologist Delegation Form (PDF)
- Credential Verification (PDF)
- Employment Update (PDF)
- Hearing and Speech Attestation (PDF)
- Speech Language Pathology or Audiology Supervision Form (PDF)
- Professional Reference Request (PDF)
- Acknowledgement of Responsibility for Interim Permit (PDF)
Fee Schedule
- See licensing fees below
-
Non-Refundable Fee Type Current Fee Amount Fee effective June 1, 2023 License application
Initial license$110
$95Total: $205
$175
Total: $175
Interim permit application
Interim permit$165
$140Total: $305
$165
$140Total: $305
Renewal $75 $45 Inactive license $60 $60 Late renewal penalty $50 $45 Expired license reissuance $140 $140 Expired inactive license reissuance $90 $90 Verification $25 $25 Duplicate license $30 $10 WAC 246-12-340 – Refund of fees
Fees submitted with applications for initial credentialing, examinations, renewal and other fees associated with the licensing and regulation of the profession are non-refundable.
License Requirements
Primary Source Verification Letter (PDF)
- See licensing requirements below
-
Education
Applicants for audiologist licenses must provide proof of successfully completing a master's or doctorate degree program that includes clinical practicum experience. Official transcripts must indicate the degree and the date it was granted. Transcripts not in English must have an official translation.
Postgraduate professional work experience
Postgraduate professional work experience must be in the field of audiology. It must be completed over a minimum of 36 weeks of full-time experience or a part-time equivalent. The applicant's supervisor must provide details of the work experience to include the name and address of the employer, type of business, position title, name of supervisor, detailed description of duties, dates of experience and the total number of work experience hours completed. Applicants who obtain an AuD at a board-approved institution of higher education are considered to have met the postgraduate professional work experience requirement.
Examination
Audiologist applicants must pass the national recognized audiology examination, the PRAXIS examination. Verification must be sent directly from or verified directly with the examination agency.
Agent registration
Audiology applicants must provide the name of a registered agent to accept service of process for any violation of law.
Bonding/security in lieu of a bond
Audiology applicants must attest that they are covered by a surety bond, or provide verification of security in lieu of a bond in the amount of at least $10,000.
State license verification
Applicants must list all states where they do or did hold credentials. This list must also include when the applicant has applied for a credential, even if a credential was not granted. The jurisdiction where the applicant is or was credentialed must complete and submit the verification form. The jurisdiction must send the completed form directly to the department.
Personal data questions
Each applicant must answer the personal data questions. If there is a positive answer to the professional liability claims history question, the applicant must send an explanation of the nature of the case, data and summary of care given, copies of the original complaint, and the settlement or final disposition. If a case is pending, the applicant must indicate the status.
Process for approving/denying applications
We finish final review for approval after a credentialing specialist verifies that the application is fully complete, and complies with requirements in chapter 18.35 RCW and chapter 246-828 WAC. We complete background checks and make sure applicants have submitted required fees. Credentialing supervisors and lead workers have the authority to approve routine applications. The disciplining authority may conduct further review if the credentialing supervisor can't verify the applicant meets all requirements. We'll formally notify applicants of a denial. Those applicants may request a hearing to appeal the decision.
Renewal requirements
Audiologists must renew their licenses every year on or before their birthday. They're required to submit the appropriate fee and attest to having a surety bond or security in lieu of a bond, and that equipment has been properly calibrated. Audiologists must complete 30 hours of continuing education every three years, which must include at least one hour of infection control.
Continuing Education (CE)
- See CE information below
-
The purpose of continuing education is to ensure the highest quality professional care. The objectives are to improve and increase the ability to deliver the highest possible quality professional care and keep the professional abreast of current developments.
Audiologists, hearing aid specialists, speech-language pathologists and speech-language pathology assistants must complete a minimum of 30 hours of continuing education every three years. At least one hour of the continuing education must be on infection control.
For more information on the continuing education requirement, see WAC 246-828-510 and WAC 246-12 Part 7.
License Renewals
- See license renewal information below
-
Is your contact information current?
In order to serve you better, we must have your correct mailing address in our system. This is especially important because we mail your courtesy renewal notice and updated credential to the address on file. The U.S. Postal Service does not forward Department of Health mail. If your contact information is not current in our system, please complete and submit the contact information change form. If you have questions, feel free to contact our staff.
How to renew
By mail
In person
Come to our Tumwater location.
Online
Audiologists may now renew online. If you renew online, you must be able to attest that:
- You have completed your continuing education requirements if they are due this year.*
- The testing equipment used in your establishment has been properly calibrated.
- You are covered by a surety bond or maintain security in lieu of a surety bond per RCW 18.35.240.*
* Licensees may be randomly audited for continuing education and/or surety bond or security in lieu of surety bond compliance.
If you have not notified us of your place of employment, or your employment address has changed, please complete the Employment Update Form (PDF).