Applications and Forms
- Apply online
The Washington State Department of Health requires that only the applicant or licensee may complete an attestation for an application, or for continuing education. This is a legal attestation. Completion of the attestation by anyone other than the applicant may constitute a reportable felony offense. The Department of Health can take action against people for perjury or for making a false statement they know to be false.
For further information please see:
Washington State law authorizes the Department of Health to obtain fingerprint-based background checks for licensing purposes. This check may be through the Washington State Patrol and the Federal Bureau of Investigation. We may require this if you have lived in another state or if you have a criminal record in Washington State. This would be at your own expense.
You must pay the application fee at the time you apply. You may use a credit or debit card with a VISA or MasterCard logo, or pay by ACH/E-Check. Please make sure your address on the payment information screen matches the address your financial institution has on file for you. This fee is non-refundable. There is a convenience fee to apply online.
If we need additional documentation, we'll notify you by email.
There are additional items you may need, in addition to your application:
If you have questions, contact our Customer Service staff at 360-236-4700.
Online Application Instructions
Online application instructions are on our website. Online applications are accessed through SecureAccess Washington (SAW) security portal. You'll need to add the Department of Health Online Application Portal service to access the online applications. The first time you add the service, you'll be prompted to answer several questions to verify your identity. The questions will match the name and address you provide with the existing public record information. Because the questions come from public record, you need to provide a complete address and your full legal name as it appears on your driver's license or birth certificate. You may find you have to enter a former address, especially if your address has changed recently (within the past one or two years) to get the right questions that pertain to your identity. If don't have sufficient information in the public record to verify your identity and aren't currently credentialed by the Department of Health, then you will need to submit a paper application, as you won't be able to access the Online Application Portal.
Once you have completed the process you will receive an email with your pending credential number, or you can look on Provider Credential Search. Refer to this credential number any time you contact Department of Health or submit paperwork.
- Apply on paper
The following forms are required for completing the application process. Please download and print forms.
- See licensing fees below
Non-Refundable Fee Type Fee Amount License application
Interim permit application
Renewal $75 Inactive license $60 Late renewal penalty $50 Expired license reissuance $140 Expired inactive license reissuance $90 Verification $30 Duplicate license $30
Fees submitted with applications for initial credentialing, examinations, renewal and other fees associated with the licensing and regulation of the profession are non-refundable.
- See licensing requirements below
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.
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.
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.
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.
- 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
Come to our Tumwater location.
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).