State of Wisconsin Department of Regulation & Licensing
Ensuring the availability of safe and competent professional services 		Secretary Celia Jackson
 Secretary Jackson
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Hearing Instrument Specialist - Forms

You will need to choose one of the application packet(s) listed below. Every form in the packet that you choose must be submitted if it applies to your situation.

Petitions for refunds must be in writing and may be granted only if the criteria set forth in Wis. Admin. Code s. RL 4.06 are met.

Application for Hearing Instrument Specialists License
(including temporary certificate)

Form #
Title
Instructions for Completing Hearing Instrument Specialist Application
Application for Hearing Instrument Specialists License
Hearing Instrument Specialist Temporary Trainee Permit Request
Convictions and Pending Charges
Notice (Department information)

Other Information / Forms

Title
Study Guide for Hearing Instrument Specialists and Audiologists
Continuing Education Approval Request Form Information
Continuing Education Approval Request Form
Disability Modification Request Form for Examinations
Professional Verification of Request For Modification

 

Last updated: Thursday, July 31, 2008