Home/Hearing Instrument/Additional Forms for Hearing InstrumentHearing InstrumentWelcomeExam InformationRenew a LicenseLicensingApply for a LicenseHearing Instrument InternHearing Instrument SpecialistAdditional FormsVerify a LicenseChange your Name/AddressLaws and RulesRelated InformationWebsitesResourcesCriminal HistoryOverviewGuidelinesApplication for Criminal History DeterminationFrequently Asked QuestionsInternationally-Trained Applicant InformationContact UsAdditional Forms Request for Verification of Licensure Intern Supervision Log Hearing Instrument Intern Resignation or Termination Surrender or Inactivation of License