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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Speech-Language Pathologist-Application Forms

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.


Speech Language Pathologist Examination Application Packet
Form #
Title

Application For Licensure to Practice Speech-Language Pathology
Application for Temporary License to Practice Speech Language Pathology
Speech-Language Pathology Certificate of Professional Education Form (This form must be completed by your school.)
Request for Verification of Certification Form (Complete and forward to the American Speech-Language Hearing Association.)
Convictions and Pending Charges
Notices (Department Information)

Other Forms and Information

 
Form #
Title

Continuing Education Approval Request Form Information

Continuing Education Approval Request Form